Individual
DIVYESH G. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
(602) 344-1174
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
30158
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684789
—
AZ
Enumeration date
08/17/2006
Last updated
03/13/2017
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