Individual
GEETIKA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 268-6976
(316) 291-7897
Mailing address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 268-6976
(316) 291-7897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-151312
IL
208M00000X
Hospitalist Physician
036-151312
IL
208M00000X
Hospitalist Physician
04-36675
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200501870A
OK MEDICAID
OK
05
—
201082710A
—
KS
Enumeration date
09/18/2008
Last updated
04/27/2021
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