Individual
DR. MADAN SUDARSHANA MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
6900 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8007
(904) 470-6900
(904) 739-0171
Mailing address
6900 SOUTHPOINT DR N, JACKSONVILLE, FL 32216-8007
(904) 470-6900
(904) 739-0171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
104638
MO
Other
Enumeration date
07/12/2006
Last updated
07/16/2014
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