Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 0024182978 | VA |
NPI | 1295489912 |
---|---|
Provider Name | Alecia Mehra |
First Address | Henrico, VA 23229-5320 |
Second Address | Richmond, VA 23298-5023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2022 |
Last Update Date | 11/02/2022 |