Individual
KUIMIL K MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8402 HARCOURT RD STE 615, INDIANAPOLIS, IN 46260-2055
(317) 806-6991
(317) 806-6990
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01052341
IN
2084N0400X
Neurology Physician
Primary
01052341A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089476
ANTHEM BXBS
IN
05
—
200269510
—
IN
Enumeration date
06/10/2005
Last updated
03/23/2021
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