Organization
DHIRENDRA MOHAN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHIRENDRA MOHAN MD (PRESIDENT)
(413) 539-9859
Entity
Organization
Contact information
Practice address
10 HOSPITAL DR, SUITE 302, HOLYOKE, MA 01040-6603
(413) 539-9859
(000) 000-0000
Mailing address
10 HOSPITAL DR, SUITE 302, HOLYOKE, MA 01040-6603
(413) 539-9859
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9724117
—
MA
01
—
MOH 10153
BLUE SHIELD
—
Enumeration date
10/08/2006
Last updated
08/22/2020
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