Healthcare Provider Details

I. General information

NPI: 1861706939
Provider Name (Legal Business Name): KARISHMA KAPAL MEHRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2010
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 PARK ST FL 1
NEW HAVEN CT
06519-1110
US

IV. Provider business mailing address

333 CEDAR ST
NEW HAVEN CT
06510-3206
US

V. Phone/Fax

Practice location:
  • Phone: 203-200-2328
  • Fax:
Mailing address:
  • Phone: 203-785-4095
  • Fax: 203-785-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number55737
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number55737
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: