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General NPI Number Information
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NPI Number | 1841999711
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Entity Type | Organization
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Legal Business Name | MEHRA CLINIC, PLLC
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8229 BOONE BLVD STE 760
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City | VIENNA
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State | VA
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Zip | 22182-2635
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Country | US
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Telephone | 703-940-0632
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Fax | 844-670-9161
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Provider Business Mailing Address
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Address Line | 8229 BOONE BLVD STE 760
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City | VIENNA
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State | VA
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Zip | 22182-2635
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Country | US
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Telephone | 703-940-0632
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Fax | 844-670-9161
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | DR. RINKU MEHRA SANDESARA
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Credential | MD
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Telephone | 703-940-0635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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