PROMILLA MEHRA MD NPI 1235169277

NPI Information

NPI: 1235169277
Provider Name: PROMILLA MEHRA, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
4485 WADSWORTH BLVD
SUITE 205
WHEATRIDGE, CO
ZIP 80033
Phone: (303) 424-6950
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Promilla Mehra, MD is a general practice in Wheatridge, CO. Promilla Mehra, MD NPI is 1235169277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4485 WADSWORTH BLVD
SUITE 205
WHEATRIDGE, CO
ZIP 80033
Phone: (303) 424-6950
Fax: (303) 424-7935

The enumeration date for this NPI number is 7/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		23774	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D28336	MEDICARE UPIN
2	62431	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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