Basic Information
Provider Information
NPI: 1912560210
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GHEI
FirstName: MEHAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ST. BARNABAS HOSPITAL 4487 3RD AVE
Address2:  
City: THE BRONX
State: NY
PostalCode: 10457
CountryCode: US
TelephoneNumber: 7189609000
FaxNumber:  
Practice Location
Address1: ST. BARNABAS HOSPITAL 4487 3RD AVE
Address2:  
City: THE BRONX
State: NY
PostalCode: 10457
CountryCode: US
TelephoneNumber: 7189609000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/22/2019
LastUpdateDate: 04/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
204D00000X1912560210NYY Allopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM 

No ID Information.


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