Individual
MITUL VINODKUMAR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2355 N WYATT DR STE 101, TUCSON, AZ 85712-2120
(520) 616-4948
(520) 616-4958
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57240
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2015
Last updated
11/07/2018
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