Mohana Urgent Care LTD

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MOHANA URGENT CARE LTD

Practice address

3641 E 108TH St
Ste B
Chicago, IL 60617-6951

Phone

(773) 731-5466

Fax

(773) 731-5461

NPI assigned

Mar 1, 2012

Last updated

Mar 11, 2013By 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

Bhargavi Nettem, MDNPI 1811098783

Title

President

Phone

(773) 680-8786

Specialties & licenses 1

Addresses

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.

• Bhargavi Nettem, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1811098783
  Authorized official Same address or phone

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1811261290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 E 108TH ST STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176952",
            "telephone_number": "773-731-5466",
            "fax_number": "773-731-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 E 108TH ST",
            "address_2": "STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176951",
            "telephone_number": "773-731-5466",
            "fax_number": "773-731-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHANA URGENT CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "NETTEM",
        "authorized_official_first_name": "BHARGAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-680-8786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangarapillai Chondra Mohan, MD
• Shena Mohan, PA-C
• Sonya Mohan, D.O.
• Sukriti Mohan, MD, MPH
• Mohana Health Care LTD
• Amrita Mohanty
• Nivedita Mohanty, MD
• Sunita Mohapatra, M.D.
• Isabella Mohatt
• Fathima Izmin Zikra Mohideen, PA-C

• Urgent Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Urgent Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.