Individual
DR. MOHAN R. MAMBALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 D ST SE, MEDICAL UNIT, WASHINGTON, DC 20003-2534
(202) 673-8251
Mailing address
3020 14TH ST NW, SUITE 402B, WASHINGTON, DC 20009-6865
(202) 745-4300
(202) 232-0723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20945
DC
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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