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Individual

MINAKSHEE MOHANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01085885A
IN
207Q00000X
Family Medicine Physician
65176
MN

Other

Enumeration date
06/08/2016
Last updated
01/03/2022
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