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NPI Code Detail

MEDICARE: DR. GAURIKA MEHRA MD

MEDICARE:  DR. GAURIKA  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
1207R00000XInternal Medicine Physician036138594IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01727255OTHERILRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1QZZ000000136068OTHERILAETNA BETTER HEALTH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4152712614OTHERILBCBS
513882754OTHERILCAQH

General Provider Information

NPI Number : 1518213537
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAURIKA MEHRA MD
Provider Business Mailing Address
First Line : PO BOX 3603
Second Line :
City : OAK BROOK
State : IL
Zip : 60522-3603
Country : US
Telephone Number : 773-772-7858
Fax Number : 773-276-6668
Provider Business Practice Location Address
First Line : 2720 W DIVISION ST
Second Line :
City : CHICAGO
State : IL
Zip : 60622-2853
Country : US
Telephone Number : 773-772-7858
Fax Number : 773-276-6668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2012
Last Update Date : 03/07/2023

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