# DR PALGHAT V MOHAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992016240
- **Authorized official:** DR. PALGHAT V MOHAN MD (DIRECTOR)
- **Authorized official phone:** (678) 262-8733

## Contact information

- **Practice address:** 357 VILLA PARK CIR, STONE MOUNTAIN, GA 30087-3503
- **Practice address phone:** (678) 262-8733
- **Practice address fax:** (888) 272-8899
- **Mailing address:** 970 RAO DR, SUITE A, MONROE, GA 30655-8491
- **Mailing address phone:** (770) 267-2122
- **Mailing address fax:** (770) 267-2122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 07/08/2019