MITUL VINODKUMAR MEHTA (NPI# 1801279617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801279617 |
| Entity Type | Individual |
| Full Name | MITUL VINODKUMAR MEHTA |
| Credential | MD |
| Practice Address |
2355 N Wyatt Dr Ste 101 Tucson AZ 85712-2120 |
| Mailing Address |
Po Box 188 Marana AZ 85653-0188 |
| Practice Telephone | 5206164948 |
| Practice Fax Number | 5206164958 |
| Mailing Telephone | 5206824111 |
| Mailing Fax Number | 5208183630 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 57240 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 W University Dr, Rochester, MI 483071863 | 2486525000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730341181 | Mitul Mehta | Ophthalmology | 850 Health Sciences Rd, Dept of Ophthalmology, Irvine, CA 92697-4375 | 2008-06-26 |
| Street Address |
2355 N WYATT DR STE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042659 | Michelle Sue Rhodes-gloor | Family Medicine | 2355 N Wyatt Dr Ste 101, Tucson, AZ 85712-2120 | 2020-07-31 |
| 1417599606 | Jennifer Linn Dunn | Registered Nurse | 2355 N Wyatt Dr Ste 101, Tucson, AZ 85712-2120 | 2019-10-09 |
| 1417484882 | Rajeshwar Singh Parmar | Internal Medicine | 2355 N Wyatt Dr Ste 101, Tucson, AZ 85712-2120 | 2017-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493402 | Old Pueblo Mobile Medicine LLC | Family Medicine | 9721 E Colette St, Tucson, AZ 85748-2756 | 2020-06-29 |
| 1023641792 | Amy Fitzgerald | Family Medicine | 2442 E Blue Diamond Dr, Tucson, AZ 85718-6691 | 2020-02-20 |
| 1578194866 | Keto Consults LLC | Family Medicine | 7469 E Broadway Blvd Ste A, Tucson, AZ 85710-1487 | 2020-01-27 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1215440326 | Maryelizabeth Hunter | Family Medicine | 6890 E Sunrise Dr Ste 120-176, Tucson, AZ 85750-0738 | 2017-11-10 |
| 1164963591 | Shohei Sowid-shima | Family Medicine | 6860 E Sunrise Dr Ste 100, Tucson, AZ 85750-0733 | 2017-03-18 |
| 1588024178 | Norma A. Price | Family Medicine | 602 W Ajo Way, Tucson, AZ 85713-6046 | 2016-02-25 |
| 1649652280 | Angela Suhale Puthenveetil | Family Medicine | 8020 N Cortaro Rd Ste 150, Tucson, AZ 85743-8305 | 2015-06-19 |
| 1366821068 | Renewed Medical Health | Family Medicine | 3382 E Speedway Blvd, Tucson, AZ 85716-3936 | 2015-05-27 |
| 1174902936 | Steven Aussenberg | Family Medicine | 4655 N Placita Roca Blanca, Tucson, AZ 85718-7476 | 2015-05-27 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.