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Individual

MOHAN PRABU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2354 W BOULEVARD, KOKOMO, IN 46902-6069
(765) 457-4800
Mailing address
2354 W BOULEVARD, KOKOMO, IN 46902-6069

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01072686A
IN
2084N0400X
Neurology Physician
27885
NE
2084N0400X
Neurology Physician
Primary
ME149732
FL

Other

Enumeration date
06/19/2007
Last updated
08/09/2022
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