Promilla Mehra, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23774 Issued in CO

Practice address

4485 Wadsworth Blvd
Suite 205
Wheatridge, CO 80033

Phone

(303) 424-6950

Fax

(303) 424-7935

NPI assigned

Jul 4, 2006

Last updated

Jul 8, 2007By 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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235169277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD",
            "address_2": "SUITE 205",
            "city": "WHEATRIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-424-6950",
            "fax_number": "303-424-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD",
            "address_2": "SUITE 205",
            "city": "WHEATRIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-424-6950",
            "fax_number": "303-424-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRA",
        "first_name": "PROMILLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "23774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Meadors, PH.D.
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• Lisa L Medina, NP
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• Meghan Rose Acupuncture LLC
• Payal Shailesh Mehta, PT
• Sumit Mehta, M.D.
• Makaylynn Jean Ellen Meiers
• Kyler Zayne Meir
• Ashley Mekkelsen, PT, DPT

• General Practice Physician in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.