MEDICARE: DR. SHVETA MEHRA 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
1	207ZP0101X	Anatomic Pathology Physician	35116	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962437475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHVETA MEHRA MD

Provider Business Mailing Address
First Line	:	1760 E RIVER RD STE 350
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85718-5999
Country	:	US
Telephone Number	:	520-519-7775
Fax Number	:

Provider Business Practice Location Address
First Line	:	2538 E UNIVERSITY DR
Second Line	:	STE 100
City	:	PHOENIX
State	:	AZ
Zip	:	85034-6925
Country	:	US
Telephone Number	:	623-806-1500
Fax Number	:	623-433-0174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	11/22/2019

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