Individual
DR. MANDEEP RAJINDER MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, A-324, BOSTON, MA 02115-6110
(617) 732-8534
(617) 264-5265
Mailing address
75 FRANCIS ST, A-324, BOSTON, MA 02115-6110
(617) 732-8534
(617) 264-5265
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D62717
MD
207RI0011X
Interventional Cardiology Physician
D62717
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037128200
—
DC
05
—
1043265978
—
DE
01
—
1411027
BLUE CROSS/BLUE SHIELD
TN
05
—
407074700
—
MD
01
—
646245-01
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
05/22/2006
Last updated
06/11/2012
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