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General NPI Number Information
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NPI Number | 1649579186
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Entity Type | Individual
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Provider Name | MOHANA KRISHNA LOYA MBBS, MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1325 N LITCHFIELD RD STE 110
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City | GOODYEAR
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State | AZ
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Zip | 85395-1214
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Country | US
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Telephone | 623-932-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 N SCOTTSDALE RD APT 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7650
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Country | US
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Telephone | 402-516-6219
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 71595
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License Number State | AZ
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