Mandira N Mehra, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

64488-20 Issued in WI

Practice address

4437 Brookfield Corporate Dr Ste 109
Chantilly, VA 20151-2122

Phone

(703) 655-4387

NPI assigned

Jul 13, 2010

Last updated

Oct 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1114239639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7219",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220397219",
            "telephone_number": "703-655-4387",
            "fax_number": "703-655-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 BROOKFIELD CORPORATE DR STE 109",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512122",
            "telephone_number": "703-655-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151830",
            "country_code": "US",
            "telephone_number": "608-260-2900",
            "fax_number": "608-260-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHRA",
        "first_name": "MANDIRA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WI",
            "license": "64488-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Jon McQuaid, LPC,LPRC
• Lashunta Renae McQueen
• Gracyn Elizabeth McVey, MSOT, OTR/L
• Madison Jean McVicker
• Jessica Meade
• Rajesh N Mehra, DO
• Haileyesus Mekonnen, RN
• Marcela Mena, BEHAVIOR TECHNICIAN
• Rogeih Meshreki
• Michelle Mahoney, LCSW LLC

• Pain Medicine Physician in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Pain Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.