Individual
MANDIRA N MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4437 BROOKFIELD CORPORATE DR STE 109, CHANTILLY, VA 20151-2122
(703) 655-4387
Mailing address
PO BOX 7219, FAIRFAX STATION, VA 22039-7219
(703) 655-4387
(703) 655-4387
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
64488-20
WI
Other
Enumeration date
07/13/2010
Last updated
10/15/2020
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