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NPI Code Detail

MEDICARE: NIDHI MEHROTRA M.D.

MEDICARE:   NIDHI  MEHROTRA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianA72677CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A072677OTHERHEALTH NET MEDI- CAL

General Provider Information

NPI Number : 1679657043
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIDHI MEHROTRA M.D.
Provider Business Mailing Address
First Line : 6769 N WILLOW AVE
Second Line : SUITE 101
City : FRESNO
State : CA
Zip : 93710-5900
Country : US
Telephone Number : 559-325-2400
Fax Number : 888-611-8817
Provider Business Practice Location Address
First Line : 6769 N WILLOW AVE
Second Line : SUITE 101
City : FRESNO
State : CA
Zip : 93710-5900
Country : US
Telephone Number : 559-325-2400
Fax Number : 888-611-8817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 02/26/2016

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Directions to “ NIDHI MEHROTRA M.D.” Practice Location

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