Organization Active NPI

Mohan R Nuthakki MD & Assoc Inc

  • Hematology & Oncology Physician
  • Troy, OH
National Provider Identifier
1265405013
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MOHAN R NUTHAKKI MD & ASSOC INC
Practice address
3130 N Dixie Hwy
Suite 107
Troy, OH 45373
Phone
(937) 440-4210
Fax
(937) 440-4211
NPI assigned
Feb 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Mohan R Nuthakki, MD
Title
President
Phone
(937) 440-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

3130 N Dixie Hwy
Suite 107
Troy, OH 45373

Mailing address

PO Box 712274
Cincinnati, OH 45271-2274
Phone (937) 440-4210

Other identifiers 1

IdentifierTypeStateIssuer
2342281MedicaidOH

National Provider Directory

National Provider Directory

Locations

3130 N Dixie Hwy
#107
Troy, OH 45373
Phone (937) 440-4210

3130 N Dixie Hwy
Ste 107
Troy, OH 45373
Phone (937) 440-4210

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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1265405013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712274",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452712274",
            "telephone_number": "937-440-4210",
            "fax_number": "937-440-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "SUITE 107",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-440-4210",
            "fax_number": "937-440-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN R NUTHAKKI MD & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "NUTHAKKI",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-440-4210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342281",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.