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General NPI Number Information
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NPI Number | 1881183739
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Entity Type | Individual
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Provider Name | KSHITIJ MEHROTRA MD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 7031 SW 62ND AVE
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4701
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Country | US
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Telephone | 305-558-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 W 49TH PL
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City | HIALEAH
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State | FL
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Zip | 33012-3113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME151058
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME151058
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License Number State | FL
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