Individual
DR. KOCHUNNI MOHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 S TRUMBULL ST, STE 2, BAY CITY, MI 48708-4217
(989) 892-8456
(898) 892-4692
Mailing address
714 S TRUMBULL ST, STE 2, BAY CITY, MI 48708-4217
(989) 892-8456
(898) 892-4692
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
KM037321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0600901571
BCBS PROVIDER ID
MI
05
—
4347665
—
MI
Enumeration date
03/17/2006
Last updated
07/09/2007
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