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General NPI Number Information
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NPI Number | 1134114374
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Entity Type | Individual
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Provider Name | MOHAN K NAMA MD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1086 FRANKLIN ST SUITE A401
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City | JOHNSTOWN
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State | PA
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Zip | 15905-4305
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Country | US
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Telephone | 814-534-5138
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Fax |
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-8487
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Fax | 614-293-8153
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35086952
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD069880L
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License Number State | PA
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