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NPI Code Detail

MEDICARE: MEKHLA B RAINA

MEDICARE: MEKHLA B RAINA
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
1363LP2300XPrimary Care Nurse Practitioner0024187981VA

General Provider Information

NPI Number : 1669257341
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEKHLA B RAINA
Provider Business Mailing Address
First Line : 336 BEVERLY HILLS CIR
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-4106
Country : US
Telephone Number : 757-529-1402
Fax Number :
Provider Business Practice Location Address
First Line : 1280A MAIN ST
Second Line :
City : ALTAVISTA
State : VA
Zip : 24517-1465
Country : US
Telephone Number : 434-309-1165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2023
Last Update Date : 01/09/2024

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Directions to “ MEKHLA B RAINA ” Practice Location

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