Prem Lata Mehandru in Jacksonville - Neonatal-perinatal Medicine

Prem Lata Mehandru - NPI 1124080049

Prem Lata Mehandru is a Neonatal-perinatal Medicine in Jacksonville, North Carolina. Prem Lata Mehandru practices all healthcare services and medical treatments related to Neonatal-perinatal Medicine. The NPI Number for Prem Lata Mehandru is 1124080049. The last update date is 2021-09-14.

Prem Lata Mehandru's current location address is 120 Memorial Dr, Jacksonville, North Carolina. You can contact this provider via phone number 9103530581 and fax number 9103531536. The mailing address for Prem Lata Mehandru is 120 Memorial Dr, Jacksonville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Prem Lata Mehandru
Address 120 Memorial Dr, Jacksonville, North Carolina
Phone Number 9103530581
Fax Number 9103531536
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124080049
Provider Enumeration Date 2006-04-05
Last Updated Date 2021-09-14

Provider Mailing Address Detail

Address 120 Memorial Dr
City Jacksonville
State North Carolina (NC)
Post Code 285466328
Phone Number 9103530581
Fax Number 9103531536

Provider's Primary Taxonomy Detail

Speciality Neonatal-perinatal Medicine
Taxonomy 2080N0001X
Licence No 30006
Definition:
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
894028 OH --
71422 OH QUALCHOICE
27600 OH ANTHEM
3980958 OH UNITED HEALTHCARE

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FAQs about Prem Lata Mehandru

What is the unique identification code assigned to Prem Lata Mehandru by the Centers for Medicare & Medicaid Services?

The Prem Lata Mehandru has been issued the NPI (National Provider Identifier) 1124080049. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Prem Lata Mehandru's facilities are situated?

The facilities of Prem Lata Mehandru are physically located at the following address: 120 Memorial Dr, Jacksonville, NC, 285466328.

What is the Prem Lata Mehandru's area of specialization and corresponding taxonomy classification?

The Prem Lata Mehandru's specialty field is Neonatal-perinatal Medicine, and it falls under the taxonomy code 2080N0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124080049 to Prem Lata Mehandru?

The Centers for Medicare & Medicaid Services originally issued the 1124080049 to Prem Lata Mehandru on 2006-04-05.

When was the information regarding Prem Lata Mehandru most recently updated?

The details pertaining to the Prem Lata Mehandru, including its address, specialty, and other relevant information, were last refreshed on 2021-09-14.

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