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General NPI Number Information
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NPI Number | 1104389600
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Entity Type | Individual
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Provider Name | AKHILA MOHAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 227 N JACKSON AVE STE 100
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City | SAN JOSE
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State | CA
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Zip | 95116-1633
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Country | US
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Telephone | 408-871-3448
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Fax | 408-871-5215
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Provider Business Mailing Address
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Address Line | 973 UNIVERSITY AVE
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City | LOS GATOS
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State | CA
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Zip | 95032-7636
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Country | US
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Telephone | 408-871-3200
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Fax | 408-871-3201
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A198534
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License Number State | CA
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