Individual
DR. MOHAN VERGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, RM. C-2149, WASHINGTON, DC 20010-2976
(202) 877-3968
(202) 877-8113
Mailing address
11412 CUSHMAN RD, ROCKVILLE, MD 20852-3608
(301) 984-6159
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD14574
DC
208800000X
Urology Physician
Primary
MD14574
DC
208800000X
Urology Physician
MD467181
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007500726
—
DC
05
—
023408400
—
DC
05
—
754921100
—
DC
Enumeration date
02/24/2006
Last updated
11/10/2021
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