Healthcare Provider Details

I. General information

NPI: 1619181260
Provider Name (Legal Business Name): SACHIN MEHTA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 E BASELINE RD STE 108
GILBERT AZ
85234-2739
US

IV. Provider business mailing address

3303 E BASELINE RD STE 108
GILBERT AZ
85234-2739
US

V. Phone/Fax

Practice location:
  • Phone: 602-222-2221
  • Fax:
Mailing address:
  • Phone: 602-222-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number43354
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number43354
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: