Vijay K Mohan MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

VIJAY K MOHAN MD PA

Practice address

104 E 30TH St
Suite 2
Pampa, TX 79065-2822

Phone

(806) 669-3303

Fax

(806) 669-6611

NPI assigned

Dec 24, 2009

Last updated

Mar 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay K Mohan, MD PANPI 1467548040

Title

President

Phone

(806) 669-3303

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijay Krishnan Mohan, M.D

  • Surgery Physician
  • Pampa, TX
  • NPI 1467548040
  Authorized official Same address or phone

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1104155001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 30TH ST",
            "address_2": "SUITE 2",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652822",
            "telephone_number": "806-669-3303",
            "fax_number": "806-669-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 30TH ST",
            "address_2": "SUITE 2",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652822",
            "telephone_number": "806-669-3303",
            "fax_number": "806-669-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY K MOHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-669-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Pampa, TX
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• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.