Individual
KISHOR D MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14973 W BELL RD STE 100, SURPRISE, AZ 85374-3878
(623) 934-1245
(623) 934-3598
Mailing address
13634 N. 93RD AVE, SUITE 100, PEORIA, AZ 85381
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17778
AZ
Other
Enumeration date
08/12/2005
Last updated
09/28/2023
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