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Contact Information

OLIVIA R MOHAN, DO
500 CHERRY ST
BLUEFIELD, WV24701
 Phone: 304-325-1905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for OLIVIA R MOHAN · (Female)

NPI # 1114380938
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/30/2016
Last updated 11/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2019-02736
  • VA License # 0102205509
  • WV License # 3315
Hospital affiliation(s)
  • SOUTHAMPTON MEMORIAL HOSPITAL - (Acute Care)
    100 FAIRVIEW DRIVE - PO BOX 817
    FRANKLIN, VA 23851
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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