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General NPI Number Information
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NPI Number | 1427224054
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Entity Type | Organization
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Legal Business Name | RAMASWAMY L MOHAN MD PC
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Dates
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Enumeration Date | 05/04/2008
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Last Update Date | 02/22/2011
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Provider Practice Location Address
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Address Line | 1401 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-2106
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Country | US
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Telephone | 517-372-2725
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Fax | 517-372-4124
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Provider Business Mailing Address
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Address Line | 1401 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-2106
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Country | US
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Telephone | 517-372-2725
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Fax | 517-372-4124
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMASWAMY MOHAN
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Credential | MD
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Telephone | 517-372-2725
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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 | 4301060785
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 4301060785
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License Number State | MI
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