Individual
DR. VENTRAPRAGADA S MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 W LINCOLN ST STE 300, BELLEVILLE, IL 62220-1900
(618) 235-4883
(618) 235-9573
Mailing address
340 W LINCOLN ST, 300, BELLEVILLE, IL 62220-1900
(618) 235-4883
(618) 235-9573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35338
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36056737
IL
207RP1001X
Pulmonary Disease Physician
Primary
36056737
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
36056737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08215136
FEDERAL BLUE CROSS
IL
01
—
166028
HEALTHLINK
IL
01
—
28568
ANTHEM
MO
05
—
36056737
—
IL
01
—
371067092002
PRUDENTIAL
IL
01
—
4469353002
CIGNA
IL
01
—
4606572
AETNA
IL
01
—
4809004
UNITED HEALTHCARE
IL
01
—
8215136
BC BS OF IL
IL
01
—
BLC21725
BLUE CHOICE OF MISSOURI
MO
01
—
CF6007
RAILROAD MEDICARE
IL
01
—
HARMONY
235930
IL
01
—
HEALTH ALLIANCE
88170
IL
01
—
HEALTH PARTNERS
300172
IL
01
—
L013062
TRICARE
IL
Enumeration date
01/12/2007
Last updated
09/23/2016
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