IndividualActive
Amit Mehrotra, M.D.
NPI 1639364474 · Clinical Cardiac Electrophysiology Physician · Peoria, IL
Provider details
- NPI number
- 1639364474
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 125052704 (IL)
Practice location
5405 N Knoxville Ave
Peoria, IL 61614-5016
Phone: (309) 691-4410
Fax: (309) 692-4730
Mailing address
5405 N Knoxville Ave
Peoria, IL 61614-5016
Registry dates
- Enumerated
- 2007-09-13
- Last updated
- 2016-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.