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NPI Code Detail

MEDICARE: DHRAMINDER MOHAN MD

MEDICARE: DHRAMINDER MOHAN MD
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
1207L00000XAnesthesiology Physician30571AZ
2207L00000XAnesthesiology PhysicianC55498CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1708729OTHERAZAHCCCS

General Provider Information

NPI Number : 1568452464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DHRAMINDER MOHAN MD
Provider Business Mailing Address
First Line : PO BOX 3067
Second Line :
City : YUBA CITY
State : CA
Zip : 95992-3067
Country : US
Telephone Number : 530-751-4784
Fax Number : 530-751-4906
Provider Business Practice Location Address
First Line : 726 FOUTH STREET
Second Line :
City : MARYSVILLE
State : CA
Zip : 95901-5656
Country : US
Telephone Number : 530-749-4300
Fax Number : 623-931-0088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 01/24/2017

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