Provider Demographics
NPI:1538359898
Name:MEHRA, SASHA (MD)
Entity type:Individual
Prefix:DR
First Name:SASHA
Middle Name:
Last Name:MEHRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:KAKADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 86459
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85080
Mailing Address - Country:US
Mailing Address - Phone:602-251-8316
Mailing Address - Fax:480-333-5165
Practice Address - Street 1:1500 S MILL AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-6699
Practice Address - Country:US
Practice Address - Phone:602-251-8316
Practice Address - Fax:623-516-8708
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ43391207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ546606Medicaid