Individual
MONIKA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2375 WOODLAKE DR STE 300, OKEMOS, MI 48864-6021
(517) 908-3600
(517) 908-3601
Mailing address
2375 WOODLAKE DR STE 300, OKEMOS, MI 48864-6021
(517) 908-3600
(517) 908-3601
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301085456
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000012628
PHYSICIANS HEALTH PLAN
MI
05
—
5200480
—
MI
Enumeration date
03/26/2007
Last updated
07/01/2024
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