Healthcare Provider Details

I. General information

NPI: 1528649803
Provider Name (Legal Business Name): MERRY BERHE MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2021
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5533 E BELL RD STE 103
SCOTTSDALE AZ
85254-1256
US

IV. Provider business mailing address

5533 E BELL RD STE 103
SCOTTSDALE AZ
85254-1256
US

V. Phone/Fax

Practice location:
  • Phone: 602-466-1111
  • Fax:
Mailing address:
  • Phone: 602-466-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number76508
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4351048010
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: