Individual
SHANTHI MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
671 WILSON AVE, HANOVER, PA 17331-7902
(717) 632-1559
(717) 632-5557
Mailing address
671 WILSON AVE, HANOVER, PA 17331-7902
(717) 632-1559
(717) 632-5557
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD418310
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018946870001
—
PA
Enumeration date
06/24/2005
Last updated
12/02/2009
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