Individual
GIRISH HIMATLAL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13634 NORTH 93RD AVENUE, SUITE 100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Mailing address
13634 NORTH 93RD AVENUE, SUITE 100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18499
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18499
STATE LICENSE
AZ
Enumeration date
10/11/2005
Last updated
03/07/2023
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