Individual
DR. RAJASHREE MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 COLONIAL DR, APT 25, ROCHESTER, IN 46975-8991
(317) 496-4836
Mailing address
1725 COLONIAL DR, APT 25, ROCHESTER, IN 46975-8991
(317) 496-4836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01033041
IN
208000000X
Pediatrics Physician
036.137506
IL
208000000X
Pediatrics Physician
MD172318
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100188900
—
IN
Enumeration date
09/13/2005
Last updated
10/20/2016
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