Provider Demographics
NPI:1124199401
Name:MEHIA, DENISE C (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:C
Last Name:MEHIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1111 MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-2529
Mailing Address - Country:US
Mailing Address - Phone:406-259-2582
Mailing Address - Fax:406-256-8684
Practice Address - Street 1:1111 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-2529
Practice Address - Country:US
Practice Address - Phone:406-259-2582
Practice Address - Fax:406-294-0967
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD2111207R00000X
MT4487MD207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT00831OtherBCBS
MT0000107120Medicaid
WI1124199401Medicaid
WY0000107120Medicaid