Organization
SUSHIL K MEHROTRA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSHIL KUMAR MEHROTRA MD (OWNER)
(304) 232-1122
Entity
Organization
Contact information
Practice address
2101 JACOB ST, STE 302, WHEELING, WV 26003-3800
(304) 232-1122
(304) 234-1873
Mailing address
2101 JACOB ST, STE 302, WHEELING, WV 26003-3800
(304) 232-1122
(304) 234-1873
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082671000
—
WV
05
—
0083694001
—
WV
05
—
2118069
—
OH
05
—
4000018000
—
WV
Enumeration date
04/26/2007
Last updated
11/07/2007
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