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Individual

MOHAN J.S. BRAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 287-3045
(859) 578-3800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3015
(859) 301-3215

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
36507
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070974
OH
05
201201010
IN
05
7100206150
KY
01
P01108047
RR MEDICARE
KY
Enumeration date
07/21/2006
Last updated
12/19/2025
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