Individual
PRITA MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3058
(510) 450-5813
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3058
(510) 450-5813
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
270600
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
A149337
CA
Other
Enumeration date
02/23/2010
Last updated
08/04/2023
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