Individual
DR. SUNIL MEHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8404 PENELOPE AVE, MIDDLE VILLAGE, NY 11379
(718) 894-8500
(718) 894-1264
Mailing address
8404 PENELOPE AVE, MIDDLE VILLAGE, NY 11379
(718) 894-8500
(718) 894-1264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149585
NY
207RP1001X
Pulmonary Disease Physician
Primary
149585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826146
—
NY
01
—
DS513
OXFORD
—
Enumeration date
02/07/2006
Last updated
01/16/2020
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