# SUSHIL K MEHROTRA MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568682730
- **Authorized official:** MRS. SHANNON MARIE SAUNDERS (OFFICE MANAGER)
- **Authorized official phone:** (304) 234-8559

## Contact information

- **Practice address:** 2101 JACOB ST, STE 302, WHEELING, WV 26003-3800
- **Practice address phone:** (304) 232-1122
- **Practice address fax:** (304) 234-1873
- **Mailing address:** 2101 JACOB ST, WHEELING, WV 26003-3800
- **Mailing address phone:** (304) 232-1122
- **Mailing address fax:** (304) 234-1873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | NULL | Yes |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 10/29/2007