Individual
PRADEEP MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2141 E. WARNER ROAD, SUITE 101, TEMPE, AZ 85284
(480) 969-8714
(480) 464-0189
Mailing address
2149 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3494
(480) 610-6100
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35093
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109749
—
AZ
Enumeration date
06/05/2006
Last updated
06/19/2012
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