Individual
ANITA TANNIRU MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
27611
MN
208200000X
Plastic Surgery Physician
64545
MN
208200000X
Plastic Surgery Physician
Primary
C174480
CA
Other
Enumeration date
04/08/2016
Last updated
04/29/2024
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