Individual
PRACHI HEETEN MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16575 W WADDELL RD, SURPRISE, AZ 85388-9627
(623) 300-9110
Mailing address
16575 W WADDELL RD, SURPRISE, AZ 85388-9627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73204
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
08/09/2024
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