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Contact Information

PETAIAH MOHAN, MD
194 CARRIAGE DR
BECKLEY, WV25801-2804
 Phone: 304-255-6051
 Fax: 304-255-6051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PETAIAH MOHAN · (Male)

NPI # 1033295324
Status Active
Credentials MD
Entity Individual
Enumeration date 10/28/2006
Last updated 12/14/2018 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 18400
  • WV Medicaid 0110044000
Hospital affiliation(s) Not Available
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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