Organization
SUSHIL K MEHROTRA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON MARIE SAUNDERS (OFFICE MANAGER)
(304) 234-8559
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, WHEELING, WV 26003-3800
(304) 232-1122
(304) 234-1873
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082671000
—
WV
05
—
4000018001
—
WV
Enumeration date
04/27/2007
Last updated
10/29/2007
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