Individual
VENKATACHALA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1135 116TH AVE NE, #560, BELLEVUE, WA 98004
(425) 454-4768
(425) 462-8021
Mailing address
1135 116TH AVE NE, #560, BELLEVUE, WA 98004
(425) 454-4768
(425) 462-8021
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
37468
WA
207RG0100X
Gastroenterology Physician
50607
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141895
LABOR & INDUSTRIES
WA
05
—
8248411
—
WA
Enumeration date
01/10/2006
Last updated
02/20/2024
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