Mehandru, Prem Lata
Mehandru, Prem Lata is an individual health care provider with primary practice located at 3333 Burnet Ave , Cincinnati OH 45229-3026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Mehandru, Prem Lata can be contacted via phone (513) 636-4830.Contact Information
Primary practice address
3333 Burnet Ave
Cincinnati OH 45229-3026
Phone: (513) 636-4830
Fax: (513) 636-7868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 30006 | West Virginia |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ME124923 | Florida |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 35-058587 | Ohio |
Profile Details
| NPI number | 1124080049 |
|---|---|
| LBN Legal business name | Mehandru, Prem Lata |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Sep 14th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124080049 | NPPES |
| Ohio | MEDICAID | 0894028 | |
| Ohio | Other | 71422 | |
| Ohio | Other | 000000027600 | |
| Ohio | Other | 3980958 |
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