Dr Palghat V Mohan MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DR PALGHAT V MOHAN MD PC

Practice address

357 Villa Park Cir
Stone Mountain, GA 30087-3503

Phone

(678) 262-8733

Fax

(888) 272-8899

NPI assigned

Jul 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Palghat V Mohan, MD

Title

Director

Phone

(678) 262-8733

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1992016240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 RAO DR",
            "address_2": "SUITE A",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558491",
            "telephone_number": "770-267-2122",
            "fax_number": "770-267-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 VILLA PARK CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873503",
            "telephone_number": "678-262-8733",
            "fax_number": "888-272-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PALGHAT V MOHAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "PALGHAT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-262-8733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.