Individual
RAJA MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN STE C820, DALLAS, TX 75230-2552
(469) 301-1725
(469) 301-1769
Mailing address
7777 FOREST LN STE C820, DALLAS, TX 75230-2552
(469) 301-1725
(469) 301-1769
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
Q8960
TX
208200000X
Plastic Surgery Physician
UNLICENSED
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q8960
TMB FULL MEDICAL LICENSE
TX
Enumeration date
03/25/2010
Last updated
07/23/2025
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