Individual
DR. NIRAV J MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12361 W BOLA DR STE 100, SURPRISE, AZ 85378-9021
(602) 641-9486
(480) 500-8430
Mailing address
PO BOX 41638, PHOENIX, AZ 85080-1638
(602) 641-9486
(480) 500-8430
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
38031
AZ
207RI0011X
Interventional Cardiology Physician
Primary
38031
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347620
—
AZ
Enumeration date
03/16/2006
Last updated
08/27/2020
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