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Individual

GEETALI MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4697
(203) 863-3000
Mailing address
5 PERRYRIDGE RD, GREENWICH, CT 06830-4697
(203) 863-3000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003374
NY
207R00000X
Internal Medicine Physician
Primary
47196
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03124361
NY
Enumeration date
07/31/2008
Last updated
08/02/2023
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