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Individual
DR. SURESH MOHAN
Active
Individual
DR. SURESH MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A177541
CA
207YS0123X
Facial Plastic Surgery Physician
A177541
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
75126
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/08/2015
Last updated
06/14/2023
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