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Individual

RAVI MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
219 S WASHINGTON ST, EASTON, MD 21601-0005
(410) 822-1000
(410) 820-8564
Mailing address
219 S WASHINGTON ST, EASTON, MD 21601-0005
(410) 822-1000
(410) 820-8564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0069567
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/21/2007
Last updated
12/14/2009
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