Prabha Mohan MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

K1567 Issued in TX

Legal business name

PRABHA MOHAN MD PA

Practice address

709 Ed Hall Dr
Suite C
Kaufman, TX 75142-1860

Phone

(972) 932-2000

Fax

(972) 932-0316

NPI assigned

Jan 1, 2011

Last updated

Jan 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rich Mohan, MSEE

Title

Office Manager

Phone

(469) 569-7140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prabha Mohan MD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prabha Mohan, M.D.

  • Internal Medicine Physician
  • Kaufman, TX
  • NPI 1548362098
  Medicare reassignment NPD

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

{
    "created_epoch": "1293840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293840000000",
    "number": "1336443621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 ED HALL DR",
            "address_2": "SUITE C",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421860",
            "telephone_number": "972-932-2000",
            "fax_number": "972-932-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ED HALL DR",
            "address_2": "SUITE C",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421860",
            "telephone_number": "972-932-2000",
            "fax_number": "972-932-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHA MOHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-01",
        "last_updated": "2011-01-01",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "469-569-7140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSEE"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "K1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029765701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prabha Mohan MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Perspectives Helping Services
• Peter H. Marsh, M.D., PA
• Emily Anne Pierce, M.C.D, CF-SLP
• Destiny Gayle Pinkston, LPC
• Renee Catherine Ponsler, DPT
• Jocelyn Lee Pratt, LCSW
• Private Healthcare Facilities (Delivered With Love Birthing Center)
• Chandler Amy Lynne Pruitt, DDS
• Rebecca Ruth Pugh
• Joann T. Radeke, JOANN T. RADEKE

• Primary Care Clinic/Center in Kaufman, TX
• Providers in Kaufman, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.