Individual
DR. MOHAN C DEOCHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 S. GULF ST, SANFORD, NC 27330
(919) 774-4536
(919) 774-4578
Mailing address
PO BOX 3294, SANFORD, NC 27331-3294
(919) 774-4536
(919) 774-4578
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9900814
NC
2084N0400X
Neurology Physician
ME105925
FL
2084N0600X
Clinical Neurophysiology Physician
9900814
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
9900814
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128C6
BCBS
NC
05
—
89128C6
—
NC
01
—
9900814
STATE LIC NUBMER
NC
Enumeration date
08/05/2006
Last updated
02/23/2024
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