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Organization

SUNRISE MEDICAL MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GIRISH H MEHTA MD (PRESIDENT)
(623) 933-0301
Entity
Organization

Contact information

Practice address
13634 N. 93RD AVE, #100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Mailing address
13634 N 93RD AVE, #100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22557
AZ
207RP1001X
Pulmonary Disease Physician
Primary
18499
AZ

Other

Enumeration date
04/10/2007
Last updated
03/04/2021
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