Individual
SUWAN MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-4900
Mailing address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22901
WV
207V00000X
Obstetrics & Gynecology Physician
22901
WV
207VM0101X
Maternal & Fetal Medicine Physician
036135328
IL
207VM0101X
Maternal & Fetal Medicine Physician
2011012787
MO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME168435
FL
207VM0101X
Maternal & Fetal Medicine Physician
U8219
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019437
—
WV
Enumeration date
06/06/2007
Last updated
12/07/2025
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