Provider Demographics
NPI:1770808339
Name:MEHTANI, MOHIT (MD)
Entity type:Individual
Prefix:DR
First Name:MOHIT
Middle Name:
Last Name:MEHTANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 TRANCAS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3044
Mailing Address - Country:US
Mailing Address - Phone:707-255-6212
Mailing Address - Fax:707-255-6290
Practice Address - Street 1:800 TRANCAS ST
Practice Address - Street 2:SUITE A
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3044
Practice Address - Country:US
Practice Address - Phone:707-255-6212
Practice Address - Fax:707-255-6290
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123354207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist