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NPI Code Detail

MEDICARE: STEVEN S MEHTA MD

MEDICARE:   STEVEN S MEHTA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0011XInterventional Cardiology Physician19661AZ
2207RC0000XCardiovascular Disease Physician19661AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1060054990OTHERRAILROAD MEDICARE
4606654990OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3AZ0844050OTHERAZBLUE CROSS

General Provider Information

NPI Number : 1396716536
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN S MEHTA MD
Provider Business Mailing Address
First Line : 3424 RED LEAF LN
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-8108
Country : US
Telephone Number : 602-432-6876
Fax Number :
Provider Business Practice Location Address
First Line : 7700 E FLORENTINE RD
Second Line : STE 206
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-2245
Country : US
Telephone Number : 928-442-8117
Fax Number : 928-772-8947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 12/09/2016

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Directions to “ STEVEN S MEHTA MD” Practice Location

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