Individual
POOJA N MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201804404
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
234922
AZ
390200000X
Student in an Organized Health Care Education/Training Program
183719
TX
Other
Enumeration date
06/07/2016
Last updated
04/28/2021
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