Organization
SANTHA MOHAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTHA MOHAN M.D (OWNER)
(201) 679-3202
Entity
Organization
Contact information
Practice address
335 E 118TH ST, NEW YORK, NY 10035-4253
(212) 831-3210
(212) 831-3211
Mailing address
16 BYRNE LN, HARRINGTON PARK, NJ 07640-1068
(201) 679-3202
(212) 831-3211
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
150725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00715320
—
NY
Enumeration date
05/30/2014
Last updated
05/30/2014
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