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Individual

ASHESHA MECHINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, FACP

Contact information

Practice address
2242 W HARRISON ST STE 104, CHICAGO, IL 60612-3515
(312) 355-1091
(312) 413-0503
Mailing address
2242 W HARRISON ST STE 104, CHICAGO, IL 60612-3515
(312) 355-1091
(312) 413-0503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09894100
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
036.155454
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0542717
NJ
Enumeration date
06/05/2014
Last updated
04/09/2025
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