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HURSH JETLY DO
NPI 1306473673
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 25, 2020
2000 W BETHANY HOME RD STE 200, PHOENIX, AZ 85015(602) 246-5658 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hursh Jetly Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HURSH JETLY DO (NPI 1306473673) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1306473673
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHURSH JETLYCredential: DO
Location Address2000 W BETHANY HOME RD STE 200Phoenix, AZ 85015-2443
Mailing Address1920 E Indian School RdPhoenix, AZ 85016-6023
Phone(602) 246-5658
Sole ProprietorNo
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1306473673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 W BETHANY HOME RD STE 200, Phoenix, AZ 85015
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER JAVIER FLORES-MARTIN
Student in an Organized Health Care Education/Training Program
2000 W BETHANY HOME RD STE 200
PHOENIX, AZ 85015
Maricopa County (623) 537-6000
MIDWESTERN UNIVERSITY
Family Medicine
2000 W BETHANY HOME RD STE 200
PHOENIX, AZ 85015
Maricopa County (623) 537-6000
SHIVAM HARESH BHANVADIA MD
Student in an Organized Health Care Education/Training Program
2000 W BETHANY HOME RD STE 200
PHOENIX, AZ 85015
Maricopa County (602) 246-5525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hursh Jetly's NPI number?

The NPI number for Hursh Jetly is 1306473673. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Hursh Jetly located?

Hursh Jetly practices at 2000 W Bethany Home Rd Ste 200, Phoenix, AZ 85015. The listed phone number is (602) 246-5658.

What is Hursh Jetly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Hursh Jetly was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.