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Contact Information

MYDILI R MANIAM MOHAN, MD
7413 N CEDAR AVE STE 101
FRESNO, CA93720-3833
 Phone: 559-435-1500
 Fax: 559-478-5082
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MYDILI R MANIAM MOHAN · (Female)

NPI Number 1093903262
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2007
Last updated 04/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # C54039
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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