Individual
DR. SURESH MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
2320 SUTTER ST STE 102, SAN FRANCISCO, CA 94115-3023
(415) 353-9500
(415) 885-7785
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A177541
CA
207YS0123X
Facial Plastic Surgery Physician
A177541
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
75126
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
06/14/2023
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