Individual
SMRUTI R MOHANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3851
(718) 780-3413
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3851
(718) 780-3413
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA11377300
NJ
207RG0100X
Gastroenterology Physician
261014
NY
207RI0008X
Hepatology Physician
261014
NY
207RT0003X
Transplant Hepatology Physician
25MA11377300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105532
—
IL
Enumeration date
12/14/2006
Last updated
05/02/2024
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