Individual
VIVEK MUKUR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 E HIGHLAND AVE, SUITE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Mailing address
2222 E HIGHLAND AVE, SUITE 300, PHOENIX, AZ 85016-4872
(602) 277-6211
(866) 242-5309
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46083
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46083
AZ LICENSE #
AZ
05
—
706184
—
AZ
Enumeration date
06/10/2008
Last updated
06/26/2013
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