Organization
M L MEHRA MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M L MEHRA M.D. (OWNER)
(217) 546-8862
Entity
Organization
Contact information
Practice address
2901 OLD JACKSONVILLE RD, SUITE B1, SPRINGFIELD, IL 62704-7437
(217) 546-8862
(217) 546-8803
Mailing address
2901 OLD JACKSONVILLE RD, SUITE B1, SPRINGFIELD, IL 62704-7437
(217) 546-8862
(217) 546-8803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699728584
NPI
IL
Enumeration date
09/27/2007
Last updated
09/27/2007
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