# EAST VALLEY UROLOGY CENTER PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487193371
- **Authorized official:** RAHUL D MEHAN M.D. (MANAGER/MEMBER)
- **Authorized official phone:** (480) 409-5080

## Contact information

- **Practice address:** 6116 E ARBOR AVE, MESA, AZ 85206-6107
- **Practice address phone:** (480) 219-1010
- **Practice address fax:** (480) 219-1771
- **Mailing address:** 6116 E ARBOR AVE, MESA, AZ 85206-6107
- **Mailing address phone:** (480) 219-1010
- **Mailing address fax:** (480) 219-1771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 45544 | AZ | Yes |

## Other

- **Enumeration date:** 02/13/2017
- **Last updated:** 05/27/2021