Individual
MOHAN KRISHNA NATRAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 FOREST DR STE 200, COLUMBIA, SC 29204-4010
(803) 252-1953
(803) 256-0138
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL52038
SC
Other
Enumeration date
06/19/2018
Last updated
08/06/2024
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