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NPI Code Detail

MEDICARE: VISHNU MOHAN M.D

MEDICARE: VISHNU 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
1207RR0500XRheumatology PhysicianS7505TX

General Provider Information

NPI Number : 1497138838
Entity Type Code : Individual
Provider Name (Legal Business Name) : VISHNU MOHAN M.D
Provider Business Mailing Address
First Line : 3833 DUNLAVY ST APT 339
Second Line :
City : HOUSTON
State : TX
Zip : 77006-4750
Country : US
Telephone Number : 832-908-1441
Fax Number : 713-500-6497
Provider Business Practice Location Address
First Line : 11476 SPACE CENTER BLVD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3656
Country : US
Telephone Number : 713-486-6325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 01/17/2024

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