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Contact Information

GOWDHAMI MOHAN, MD
785 OHIO AVE STE 3E
CLARKSDALE, MS38614-6215
 Phone: 662-351-0702
 Fax: 662-351-0703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GOWDHAMI MOHAN · (Female)

NPI Number 1114921806
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2005
Last updated 08/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 17935
  • GA Medicaid 050001919C
  • MS Medicaid 200011416
  • SC Medicaid T20901
  • SC Other 8607 MEDICARE GROUP NUMBER
  • SC Other P00944908 RR MEDICARE
Hospital affiliation(s)
  • ANMED HEALTH - (Acute Care)
    800 N FANT ST
    ANDERSON, SC 29621
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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