MEDICARE: SEEMA 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
1	207R00000X	Internal Medicine Physician	27611	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1588604177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEEMA MOHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 5848
Second Line	:	A4
City	:	CAREFREE
State	:	AZ
Zip	:	85377-5848
Country	:	US
Telephone Number	:	480-595-0431
Fax Number	:	480-595-2322

Provider Business Practice Location Address
First Line	:	36800 N. SIDEWINDER RD.
Second Line	:	A4
City	:	CAREFREE
State	:	AZ
Zip	:	85377-5848
Country	:	US
Telephone Number	:	480-595-0431
Fax Number	:	480-595-2322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/25/2014

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Directions to “ SEEMA MOHAN MD” Practice Location

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