MEDICARE: MANEESH MEHRA MD

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
1	207R00000X	Internal Medicine Physician	35.094934	OH

General Provider Information

NPI Number	:	1417136805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANEESH MEHRA MD

Provider Business Mailing Address
First Line	:	2323 LEE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-3413
Country	:	US
Telephone Number	:	216-350-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LEE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-3413
Country	:	US
Telephone Number	:	216-350-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2007
Last Update Date	:	05/15/2023

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