Individual
DR. MOHAN MATHEW JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1700
(404) 785-4249
Mailing address
11175 CAMPUS ST STE 21121, LOMA LINDA, CA 92350-1700
(909) 558-4354
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
89257
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A138617
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2011
Last updated
10/12/2022
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