Individual
JAY MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063640
IL
207RI0011X
Interventional Cardiology Physician
Primary
5101022192
MI
Other
Enumeration date
07/01/2013
Last updated
02/17/2023
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