Individual
DR. KSHITIJ MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 558-2500
Mailing address
1475 W 49TH PL, HIALEAH, FL 33012-3113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME151058
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME151058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113618300
—
FL
01
—
G20DC
BCBS
FL
Enumeration date
05/07/2018
Last updated
04/09/2025
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