Active NPI
Kamal Mohan, M.D.
- Allergy Physician
- Okemos, MI
National Provider Identifier
1558361998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- KM031525
- Practice address
- 3955 Okemos Rd
Suite A1
Okemos, MI 48864-4208 - Phone
- (517) 349-0027
- Fax
- (517) 349-5882
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | KM031525 | MI | Primary |
Addresses
Primary practice location
3955 Okemos Rd
Suite A1
Okemos, MI 48864-4208
Mailing address
3955 Okemos Rd
Suite A1
Okemos, MI 48864-4208
Phone (517) 349-0027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4744048 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KM031525 | MI | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1558361998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 OKEMOS RD",
"address_2": "SUITE A1",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488644208",
"telephone_number": "517-349-0027",
"fax_number": "517-349-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 OKEMOS RD",
"address_2": "SUITE A1",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488644208",
"telephone_number": "517-349-0027",
"fax_number": "517-349-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "KAMAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "KM031525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4744048",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.