| Doctor Name: | MEHRAN K. ELLY |
| NPI Number: | 1053361790 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D., PH.D |
| License Number: | A61716 |
| Business Practice Address: | 39000 Bob Hope Dr Eisenhower Imaging Center Rancho Mirage, CA - 922703221 |
| Business Phone Number: | 7603403911 |
| Business Fax Number: | 7606743852 |
| Mailing Address: | Po Box 1584, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462061584 |
| Phone Number: | 8887271070 |
| Fax Number: | 8667522240 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 01/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | A61716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |