Individual
SUYOG A MOKASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
238257
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
63262
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD475697
PA
Other
Enumeration date
10/28/2008
Last updated
11/09/2021
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