Active NPI
Mohans PC
- Specialist
- Phoenix, AZ
National Provider Identifier
1265466445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 30571
- Legal business name
- MOHANS PC
- Practice address
- 19829 N 27TH Ave
Phoenix, AZ 85027 - Phone
- (623) 931-1225
- Fax
- (623) 931-0088
- NPI assigned
- Jul 11, 2006
- 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. Dhraminder Mohan, M.D.
- Title
- Doctor
- Phone
- (623) 931-1225
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 30571 | AZ | Primary |
Addresses
Primary practice location
19829 N 27TH Ave
Phoenix, AZ 85027
Mailing address
P O Box 81349
Phoenix, AZ 85069-1349
Phone (623) 931-1225
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0737950 | Other | AZ | BLUE CROSS BLUE SHIELD |
| P00059001 | Other | AZ | RAILROAD MEDICARE |
| 708729 | Medicaid | AZ | |
| AW4710 | Other | AZ | HEALTHNET |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Marysville, CA
- NPI 1568452464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246320000000",
"number": "1265466445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 81349",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850691349",
"telephone_number": "623-931-1225",
"fax_number": "623-931-0088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19829 N 27TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85027",
"telephone_number": "623-931-1225",
"fax_number": "623-931-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2009-06-30",
"status": "A",
"authorized_official_last_name": "MOHAN",
"authorized_official_first_name": "DHRAMINDER",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "623-931-1225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AZ",
"license": "30571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0737950",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00059001",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "708729",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "AW4710",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.