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Individual

DR. GIRISH CHINTAMANI MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9245 S MINGO RD, TULSA, OK 74133-5793
(918) 492-8980
(918) 495-0607
Mailing address
110 W 7TH ST STE 2520, TULSA, OK 74119-1104
(918) 579-3826
(918) 579-1262

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
44353
OK
207N00000X
Dermatology Physician
62550
CT
207N00000X
Dermatology Physician
A170186
CA
207ND0101X
MOHS-Micrographic Surgery Physician
62550
CT
207NS0135X
Procedural Dermatology Physician
62550
CT

Other

Enumeration date
05/11/2015
Last updated
02/21/2025
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