Kishor D Mehta
Medical Specialty
Professional ID
- NPI: 1609878263
- PECOS ID: 0547284861
- Enrollment ID: I20081014000059
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1980
Hospital Service
- Hospital CCN1: 030061
- Business Name (LBN)1: Banner Boswell Medical Center
- Hospital CCN2: 030093
- Business Name (LBN)2: Banner Del E Webb Medical Center
- Hospital CCN3: 031300
- Business Name (LBN)3: Wickenburg Community Hospital
Medical Practices
- Organization Name: Sunrise Medical Associates Llc
- Group Practice ID assigned by PECOS: 5395069934
- Number of Group Practice member: 3
Location
- Address1: 13634 N 93rd Ave
- Address2: Suite 100
- City: Peoria
- State: Arizona
- Zip Code: 85381
- Phone Number: (623)933-030110
Medical Practices
- Organization Name: Arizona Primary Care Physicians Llc
- Group Practice ID assigned by PECOS: 8820316334
- Number of Group Practice member: 87
Location
- Address1: 13949 W Meeker Blvd E
- Address2: Clinic For Chest Diseases
- City: Sun City West
- State: Arizona
- Zip Code: 85375
- Phone Number: (623)974-2434
Location
- Address1: 5620 W Thunderbird Rd
- Address2:
- City: Glendale
- State: Arizona
- Zip Code: 85306
- Phone Number: (602)938-6960
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes