Individual
RADHIKA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 BURTON AVE, SUMMERVILLE, SC 29485-8117
(843) 970-5870
Mailing address
3113 CORNELL AVE, DALLAS, TX 75205-2931
(214) 522-4886
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00000000000
SC
208000000X
Pediatrics Physician
00000000
TX
Other
Enumeration date
04/21/2021
Last updated
06/22/2023
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