Individual
DR. KRISHNA M MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 BROADWAY APT 1A, NEW YORK, NY 10040-1549
(212) 567-2222
(212) 567-2345
Mailing address
4700 BROADWAY APT 1A, NEW YORK, NY 10040-1549
(212) 567-2222
(212) 567-2345
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
126596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
#00374034
—
NY
01
—
126596
LICENSE
NY
01
—
22-2851771
TAX ID-M.D.P.C
NY
Enumeration date
09/22/2006
Last updated
07/08/2007
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