Individual
DR. KIRAN MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8300 HOUGH AVENUE, CLEVELAND, OH 44103-4247
(216) 231-7700
(216) 231-7920
Mailing address
8300 HOUGH AVENUE, CLEVELAND, OH 44103-4247
(216) 231-7700
(216) 231-7920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-069221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358514
ANTHEM
OH
05
—
0208626
—
OH
Enumeration date
10/05/2005
Last updated
11/03/2011
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