Organization Active NPI

Raja Mohan MD PA

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1114406469
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RAJA MOHAN MD PA
Practice address
7777 Forest LN Ste C820
Dallas, TX 75230-2552
Phone
(469) 301-1725
Fax
(469) 301-1769
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Dr. Raja Mohan, MD
Title
President
Phone
(559) 917-5721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

7777 Forest LN Ste C820
Dallas, TX 75230-2552

Mailing address

7777 Forest LN Ste C820
Dallas, TX 75230-2552
Phone (469) 301-1725

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste C820
Dallas, TX 75230
Phone (469) 301-1725

3341 Regent Blvd
Ste 130328
Irving, TX 75063

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1114406469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302552",
            "telephone_number": "469-301-1725",
            "fax_number": "469-301-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C820",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302552",
            "telephone_number": "469-301-1725",
            "fax_number": "469-301-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJA MOHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "RAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-917-5721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.