Individual
DR. SUSHIL KUMAR MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 JACOB ST, SUITE 302, WHEELING, WV 26003
(304) 232-1122
(304) 234-1864
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
35047846
OH
207RX0202X
Medical Oncology Physician
Primary
13159
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083694000
—
WV
05
—
0492668
—
OH
Enumeration date
01/24/2006
Last updated
05/26/2015
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