Active NPI
Raja Mohan MD PA
- Plastic Surgery Physician
- Dallas, TX
National Provider Identifier
1114406469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.
-
- Plastic Surgery Physician
- Arlington, TX
- NPI 1174621890
Plastic Surgery
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.