Individual
DR. AMIT K MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
(309) 692-4730
Mailing address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
(309) 692-4730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125052704
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036.125060
IL
Other
Enumeration date
09/13/2007
Last updated
02/22/2016
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