# DR. SURESH MOHAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871989624
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | A177541 | CA | — |
| 207YS0123X | Facial Plastic Surgery Physician | A177541 | CA | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 75126 | CT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/08/2015
- **Last updated:** 06/14/2023