Individual
T. MURALI MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 KENTUCKY AVE, STEVENSON, AL 35772-3102
(256) 437-2431
(256) 437-8303
Mailing address
PO BOX 920, BRIDGEPORT, AL 35740-0920
(256) 437-2431
(256) 437-8303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11102
AL
207Q00000X
Family Medicine Physician
16197
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029459
BCTN
—
01
—
4513628
CIGNA
—
Enumeration date
01/26/2007
Last updated
07/08/2007
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