Individual
MEENA K MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-4000
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 784-7093
(919) 784-7395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901266
NC
208M00000X
Hospitalist Physician
9901266
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250A
BCBS
—
05
—
891250A
—
NC
Enumeration date
12/23/2005
Last updated
04/12/2024
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