Individual
DR. KAMAL JIT MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6025 WALNUT GROVE ROAD, SUIT NO 311, MEMPHIS, TN 38120
(901) 767-1100
(901) 761-9703
Mailing address
PO BOX 172327, MEMPHIS, TN 38187-2327
(901) 767-1100
(901) 761-9703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3873573
—
TN
Enumeration date
08/02/2005
Last updated
09/18/2015
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