Provider Demographics
NPI:1780942623
Name:SUTHAR, MEHUL AJAY (DO)
Entity type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:AJAY
Last Name:SUTHAR
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Gender:M
Credentials:DO
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Mailing Address - Street 1:230 LEXINGTON GREEN CIR STE 600
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3326
Mailing Address - Country:US
Mailing Address - Phone:859-971-4695
Mailing Address - Fax:859-971-4604
Practice Address - Street 1:793 EASTERN BYP STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2440
Practice Address - Country:US
Practice Address - Phone:859-624-6560
Practice Address - Fax:859-624-6569
Is Sole Proprietor?:No
Enumeration Date:2012-04-29
Last Update Date:2020-12-03
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Provider Licenses
StateLicense IDTaxonomies
KY03858207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine