Organization
PRABHA MOHAN MD PA
Active
Other names
Prabha Mohan MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICH MOHAN MSEE (OFFICE MANAGER)
(469) 569-7140
Entity
Organization
Contact information
Practice address
709 ED HALL DR, SUITE C, KAUFMAN, TX 75142-1860
(972) 932-2000
(972) 932-0316
Mailing address
709 ED HALL DR, SUITE C, KAUFMAN, TX 75142-1860
(972) 932-2000
(972) 932-0316
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K1567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029765701
—
TX
Enumeration date
01/01/2011
Last updated
01/01/2011
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