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General NPI Number Information
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NPI Number | 1396048765
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Entity Type | Organization
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Legal Business Name | ANNU MOHAN MD PLLC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 2480 ROSEWOOD DR
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City | MT PLEASANT
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State | MI
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Zip | 48858-5003
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Country | US
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Telephone | 989-773-9828
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 ROSEWOOD DR
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City | MT PLEASANT
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State | MI
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Zip | 48858-5003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANNU MOHAN
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Credential | MD
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Telephone | 989-773-9828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301078619
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License Number State | MI
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