K Mohan MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

KMO37321 Issued in MI

Legal business name

K MOHAN MD PC

Practice address

714 S Trumbull St
Bay City, MI 48708-4217

Phone

(198) 989-2530

Fax

(198) 989-2469

NPI assigned

Apr 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

K Mohan, MD

Title

Doctor

Phone

(989) 892-5302

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kochunni Mohan, MD

  • Cardiovascular Disease Physician
  • Bay City, MI
  • NPI 1841269164
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1003133141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "198-989-2530",
            "fax_number": "198-989-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "198-989-2530",
            "fax_number": "198-989-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K MOHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "19898925302",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "KMO37321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1003133141",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104347665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiana Rae Joyner
• Lydia Grace Julian
• Audra Jungnitsch
• Just Medical Care Mi PC
• Ronald M Justin, CRNA
• K.a.R.N. Inc.
• Allison Kaczmarczyk
• Rachael Kaiponen
• Timmy Joe Kajdan
• Uma Reddy Kalakota, DMD

• Cardiovascular Disease Physician in Bay City, MI
• Providers in Bay City, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.