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Contact Information

MOHANS PC
19829 N 27TH AVE
PHOENIX, AZ85027
 Phone: 623-931-1225
 Fax: 623-931-0088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MOHANS PC · (Female)

NPI # 1265466445
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2006
Last updated 06/30/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 30571
  • AZ Medicaid 708729
  • AZ Other 0737950 BLUE CROSS BLUE SHIELD
  • AZ Other AW4710 HEALTHNET
  • AZ Other P00059001 RAILROAD MEDICARE
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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