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NPI Code Detail

MEDICARE: DR. INDERJIT MEHMI M.D.

MEDICARE: DR. INDERJIT MEHMI M.D.
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 Physician01070849AIN
2207RH0003XHematology & Oncology Physician24937WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2A147630OTHERCATHE MEDICAL BOARD OF CALIFORNIA

General Provider Information

NPI Number : 1801092705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INDERJIT MEHMI M.D.
Provider Business Mailing Address
First Line : MEDICAL CENTER DR
Second Line :
City : MORGANTOWN
State : WV
Zip : 26506
Country : US
Telephone Number : 304-293-4229
Fax Number :
Provider Business Practice Location Address
First Line : 11800 WILSHIRE BLVD FL 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6602
Country : US
Telephone Number : 310-231-2121
Fax Number : 310-582-7996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2007
Last Update Date : 02/05/2020

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