Organization Active NPI

Mohan Persaud MD PA

  • Gastroenterology Physician
  • West Palm Beach, FL
National Provider Identifier
1083882401
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME59705 Issued in FL
Legal business name
MOHAN PERSAUD MD PA
Practice address
2051 45TH St
Suite 104
West Palm Beach, FL 33407-2027
Phone
(561) 881-0100
Fax
(561) 881-0099
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mohan Persaud, MD
Title
President
Phone
(561) 881-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X ME59705 FL Primary

Addresses

Primary practice location

2051 45TH St
Suite 104
West Palm Beach, FL 33407-2027

Mailing address

2051 45TH St
Suite 104
West Palm Beach, FL 33407-2027
Phone (561) 881-0100

National Provider Directory

National Provider Directory

Locations

2051 45th St
Ste 104
West Palm Beach, FL 33407
Phone (561) 881-0100

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1083882401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 45TH ST",
            "address_2": "SUITE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072027",
            "telephone_number": "561-881-0100",
            "fax_number": "561-881-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 45TH ST",
            "address_2": "SUITE 104",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072027",
            "telephone_number": "561-881-0100",
            "fax_number": "561-881-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN PERSAUD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-881-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME59705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.