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

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 PA

Title

President

Phone

(806) 669-3303

Specialties & licenses 1

Addresses

Locations

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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• 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.