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NPI Code Detail

MEDICARE: ANAND MOHAN M.D.

MEDICARE:   ANAND  MOHAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician61117-20WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427043058
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANAND MOHAN M.D.
Provider Business Mailing Address
First Line : 700 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-251-6100
Fax Number :
Provider Business Practice Location Address
First Line : 700 S PARK ST
Second Line :
City : MADISON
State : WI
Zip : 53715-1830
Country : US
Telephone Number : 608-251-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 03/07/2017

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