Individual
SUYASH MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-3005
Mailing address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-3005
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
4301093730
MI
2085N0700X
Neuroradiology Physician
Primary
MD4411230
PA
2085R0202X
Diagnostic Radiology Physician
4301093730
MI
Other
Enumeration date
07/28/2009
Last updated
11/28/2011
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