Provider Demographics
NPI:1194879056
Name:JANAK K. MEHTANI
Entity type:Organization
Organization Name:JANAK K. MEHTANI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-486-7555
Mailing Address - Street 1:2951 FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4909
Mailing Address - Country:US
Mailing Address - Phone:916-486-7555
Mailing Address - Fax:916-486-7557
Practice Address - Street 1:2951 FULTON AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4909
Practice Address - Country:US
Practice Address - Phone:916-486-7555
Practice Address - Fax:916-486-7557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAIR OAKS PSYCHIATRIC ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-22
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty