Organization
RAMASWAMY L MOHAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMASWAMY MOHAN MD (PRESIDENT)
(517) 372-2725
Entity
Organization
Contact information
Practice address
1401 E MICHIGAN AVE, LANSING, MI 48912-2106
(517) 372-2725
(517) 372-4124
Mailing address
1401 E MICHIGAN AVE, LANSING, MI 48912-2106
(517) 372-2725
(517) 372-4124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301060785
MI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301060785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102970059
—
MI
01
—
1603312581
BCBSM
MI
Enumeration date
05/04/2008
Last updated
02/22/2011
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