MEDICARE: OASIS VEIN AND VITALITY LLC

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
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1750044830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS VEIN AND VITALITY LLC

Provider Business Mailing Address
First Line	:	PO BOX 3470
Second Line	:
City	:	CAREFREE
State	:	AZ
Zip	:	85377-3470
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7659 E PINNACLE PEAK RD STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6298
Country	:	US
Telephone Number	:	602-432-6876
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN S MEHTA
Credential	:	MD
Telephone Number	:	602-432-6876

Provider Enumeration Date	:	10/15/2021
Last Update Date	:	10/28/2021

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Directions to “OASIS VEIN AND VITALITY LLC ” Practice Location

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