NPI 1043519796

Gaurav Suresh Mehta, MD

Practitioner Family Medicine Physician Detroit Lakes, MN

Practice location

Address: 1027 Washington Avenue, Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
Mailing address: 400 E Third Street, Duluth, MN 55805-1951

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 64848 (MN)

Other Family Medicine providers in Minnesota →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence BP10058334 (TX)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Minnesota →

Registry record

NPI: 1043519796
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2011
Record last updated: 3 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.