Individual
SANDEEP MEHRISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250-12 HILLSIDE AVENUE, SUITE B, BELLEROSE, NY 11426-2139
(718) 347-0411
(718) 347-0455
Mailing address
65-11 BOOTH STREET, SUITE 1C, REGO PARK, NY 11374-4184
(718) 806-1434
(718) 806-1435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241650
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
241650
NY
207RP1001X
Pulmonary Disease Physician
Primary
241650
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
174521
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
241650
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228408
—
NY
Enumeration date
03/20/2006
Last updated
03/10/2014
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