Individual
MS. JAYSHRI GAMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4540 E BASELINE RD STE 109, MESA, AZ 85206-4616
(480) 982-3337
(480) 497-4580
Mailing address
4540 E BASELINE RD STE 109, MESA, AZ 85206-4616
(480) 982-3337
(480) 497-4580
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36353
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN5890
RAIL ROAD MEDICARE
AZ
Enumeration date
05/09/2006
Last updated
09/25/2023
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