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Contact Information

A.S.LALITH MOHAN M.D. PROF. INC
108 LYNCH CREEK WAY
#3
PETALUMA, CA94954
 Phone: 707-762-5078
 Fax: 707-763-7030
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for A.S.LALITH MOHAN M.D. PROF. INC

NPI # 1366559486
LBN Legal business name A.S.LALITH MOHAN M.D. PROF. INC
Authorized official ADAMANE LALITH MOHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2006
Last updated 02/15/2012 - About 14 years ago
Identifiers
CA License # A32849
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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