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Individual
DR. MANOJ MOHAN
Active
Individual
DR. MANOJ MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MM018049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002434
RESIDENT- FELLOW
GA
01
—
5101018049
STATE OF MICHIGAN LICENSE
MI
Enumeration date
06/28/2007
Last updated
10/02/2013
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