Individual
JAY MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1030 HARRINGTON ST STE 101, MOUNT CLEMENS, MI 48043-2967
(586) 464-4010
Mailing address
1030 HARRINGTON ST STE 101, MOUNT CLEMENS, MI 48043-2967
(989) 213-5444
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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