Healthcare Provider Details

I. General information

NPI: 1174143028
Provider Name (Legal Business Name): MOHIT OJHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 QUARRY ST
FALL RIVER MA
02723-1025
US

IV. Provider business mailing address

387 QUARRY ST
FALL RIVER MA
02723-1025
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-8111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1012978
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: