Shanthi Mohan, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD418310 Issued in PA

Practice address

671 Wilson Ave
Hanover, PA 17331-7902

Phone

(717) 632-1559

Fax

(717) 632-5557

NPI assigned

Jun 24, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1033115092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 WILSON AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317902",
            "telephone_number": "717-632-1559",
            "fax_number": "717-632-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 WILSON AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317902",
            "telephone_number": "717-632-1559",
            "fax_number": "717-632-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SHANTHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD418310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018946870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Christine Miller, PT, DPT, LAT, ATC
• Season M Miller, LGPC
• Juliana Millette
• Jacob Milner, DDS
• Patricia Ann Mincher, COTA
• Ahsan G. Mohar, MD
• Ben E Montgomery, MD
• Matthew L Montgomery, M.D.
• Katrina Mooney, RN
• Crystal Moore

• Hematology & Oncology Physician in Hanover, PA
• Providers in Hanover, PA by specialty
• Hematology & Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.