Individual
SANJAY MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 HEART DR, EAST CAROLINA HEART INSTITUTE AT ECU, GREENVILLE, NC 27834-8944
(252) 744-4400
(252) 744-3987
Mailing address
PO BOX 75169, ECU PHYSICIANS, CHARLOTTE, NC 28275-0169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2010-00211
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2010-00211
NC
208M00000X
Hospitalist Physician
2010-00211
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15691
BCBSNC
NC
01
—
35056
BC/BS
FL
05
—
5916169
—
NC
01
—
99267
BC/BS
—
Enumeration date
12/05/2006
Last updated
02/02/2012
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