M L MEHRA MD LTD NPI 1548457104

NPI Information

  • NPI: 1548457104
  • Provider Name: M L MEHRA MD LTD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2901 OLD JACKSONVILLE RD
    SUITE B1
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 546-8862

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NPI Details

M L MEHRA MD LTD is a specialist in Springfield, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. M L MEHRA MD LTD NPI is 1548457104. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2901 OLD JACKSONVILLE RD
SUITE B1
SPRINGFIELD, IL
ZIP 62704-437
Phone: (217) 546-8862
Fax: (217) 546-8803

The provider's authorized official is M L Mehra .
The authorized official title is Owner and has the following contact phone number (217) 546-8862.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 9/27/2007.

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
1174400000XSpecialistILLINOISYes

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
1K09421MEDICARE PINILLINOIS
21699728584OTHERILLINOISNPI
3209750MEDICARE UPINILLINOIS

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: 3/30/2025

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