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General NPI Number Information
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NPI Number | 1417269655
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Entity Type | Individual
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Provider Name | MAHESH MOHAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2010
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 13052 DALLAS PKWY STE 220
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City | FRISCO
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State | TX
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Zip | 75033-4241
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Country | US
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Telephone | 214-618-4010
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Fax | 214-956-4655
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Provider Business Mailing Address
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Address Line | 13052 DALLAS PKWY STE 220
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City | FRISCO
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State | TX
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Zip | 75033-4241
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Country | US
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Telephone | 214-618-4010
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Fax | 214-956-4655
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036136723
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2014036782
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 04-36621
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 036136723
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD-43470
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License Number State | IA
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