Individual
SMITA PATIL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8279
Mailing address
2510 W DUNLAP AVE, SUITE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8279
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36118593
IL
207R00000X
Internal Medicine Physician
Primary
44077
AZ
208M00000X
Hospitalist Physician
36118593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606665
—
AZ
Enumeration date
07/13/2007
Last updated
06/13/2017
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