Individual
DR. NILESH D MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(800) 322-9183
Mailing address
6897 PAYSPHERE CIRCLE, CHICAGO, IL 60674-0001
(800) 294-8333
(847) 746-4499
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
036.077916
IL
207RX0202X
Medical Oncology Physician
Primary
64889
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077916
—
IL
Enumeration date
06/06/2006
Last updated
12/11/2024
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