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Individual

MONALISA MOHAN TAILOR

Active
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Individual

MONALISA MOHAN TAILOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45916
KY
207R00000X
Internal Medicine Physician
R2388
KY
207R00000X
Internal Medicine Physician
TRN15210
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100173490
KY
Enumeration date
06/14/2010
Last updated
01/22/2021
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