Individual
PUSHKAR MEHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19862
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299944
—
MA
01
—
40351BMC
HCHP
MA
01
—
X07996
BCBS
MA
Enumeration date
07/19/2006
Last updated
07/08/2007
Update your record
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