Individual
TANIYA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1115 N BELT HWY, SAINT JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421
Mailing address
1115 N BELT HWY, SAINT JOSEPH, MO 64506-2410
(816) 271-7077
(816) 271-0421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017027436
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2014
Last updated
10/09/2024
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