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NPI Code Detail

MEDICARE: DR. SWEETI MEHRA M.D.

MEDICARE: DR. SWEETI MEHRA 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 Physician25MA09619500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871586735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SWEETI MEHRA M.D.
Provider Business Mailing Address
First Line : 1790 BROADWAY
Second Line : 3RD FLOOR
City : NEW YORK
State : NY
Zip : 10019-1412
Country : US
Telephone Number : 212-315-0144
Fax Number : 212-315-0196
Provider Business Practice Location Address
First Line : 85 WOODLAND RD
Second Line :
City : SHORT HILLS
State : NJ
Zip : 07078-2449
Country : US
Telephone Number : 973-315-9076
Fax Number : 973-376-0357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 07/10/2019

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