Basic Information
| Provider Information | |||||||||
| NPI: | 1891953063 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEHRA | ||||||||
| FirstName: | SHEELA | ||||||||
| MiddleName: | RAJAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3241 CANDLEWOOD TRL | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750231321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6786224316 | ||||||||
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| Practice Location | |||||||||
| Address1: | 585 SCHENECTADY AVE | ||||||||
| Address2: | |||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 112031809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7186045000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2008 | ||||||||
| LastUpdateDate: | 05/07/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 003417 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | S8465 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.