Dr. Jay G Mehta, DO
Dermatology in Surprise, AZ. Individual provider (NPI-1).
NPI number1255572863
StatusActive
Last updated in NPPESNov 24, 2025
Details
- NPI
- 1255572863
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jay G Mehta
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2009
- Certification date
- Nov 24, 2025
- Last updated
- Nov 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 006512 | AZ | Yes |
| 207R00000X | Internal Medicine | 58-003057 | OH | |
| 207R00000X | Internal Medicine | 006512 | AZ |
Practice location
11340 W Bell Rd Ste 127Surprise, AZ 85378-9335
Phone 623-225-7546 · Fax 623-225-7548
Mailing address
11340 W Bell Rd Ste 127Surprise, AZ 85378-9335
Phone 623-225-7546 · Fax 623-225-7548
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