Provider Demographics
NPI:1346092137
Name:JARECHA, MEHUL (DC)
Entity Type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:
Last Name:JARECHA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 E BART ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-3487
Mailing Address - Country:US
Mailing Address - Phone:480-377-8888
Mailing Address - Fax:
Practice Address - Street 1:201 W GUADALUPE RD STE 311
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3319
Practice Address - Country:US
Practice Address - Phone:480-377-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor