Individual ProviderGunja MehtaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address10800 Knights Rd, Philadelphia, PA 19114-4200(215) 612-5161PECOS EnrollmentBased on the most recent information from CMS, provider Gunja Mehta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1790414399Provider TypeIndividualFull NameMehta, GunjaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date6/8/2022Last Updated8/21/2025Contact InformationPractice LocationPractice Address10800 Knights Rd, Philadelphia, PA 19114-4200Phone(215) 612-5161FaxUnlisted FaxMailing LocationMailing Address10800 Knights Rd, Philadelphia, PA 19114-4200Phone(215) 612-5161FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS024446Pennsylvania