Provider Demographics
NPI:1114979101
Name:MEHR, UZMA (MD)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:MEHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-1118
Mailing Address - Country:US
Mailing Address - Phone:585-637-3905
Mailing Address - Fax:585-637-4990
Practice Address - Street 1:20 ELM ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1933
Practice Address - Country:US
Practice Address - Phone:607-590-2424
Practice Address - Fax:607-590-2428
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226509-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02333493Medicaid
NY02333493Medicare ID - Type Unspecified
NYDD3714Medicare ID - Type Unspecified
NYH75843Medicare UPIN