Individual
DR. MANIK MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8525
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
(660) 890-8525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015016074
MO
390200000X
Student in an Organized Health Care Education/Training Program
4301100343
MI
Other
Enumeration date
06/21/2012
Last updated
11/15/2021
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