Individual
MOHIT SOURABH KASIBHATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
524 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 551-6300
(252) 551-6391
Mailing address
524 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 551-6300
(252) 551-6391
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2006-01262
NC
2085R0001X
Radiation Oncology Physician
MD12575
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008032332
—
CT
01
—
7263727
AETNA
RI
05
—
MK69589
—
RI
01
—
P00756245
RAILROAD MEDICARE - RWRT
RI
01
—
P00762785
RAILROAD MEDICARE - RADIOSURGERY CENTER OF RI
RI
01
—
P00912570
RAILROAD MEDICARE - SOUTH COUNTY
RI
01
—
P01044492
RAILROAD MEDICARE - SOUTHERN NEW ENGLAND REGIONAL CANCER
RI
Enumeration date
09/29/2006
Last updated
05/22/2026
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