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NPI Code Detail

MEDICARE: MOHAN PREET MD

MEDICARE: MOHAN PREET MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician00002693NY
2207RH0003XHematology & Oncology Physician270060-1NY

General Provider Information

NPI Number : 1134243595
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAN PREET MD
Provider Business Mailing Address
First Line : 123 BACON RD
Second Line :
City : OLD WESTBURY
State : NY
Zip : 11568-1304
Country : US
Telephone Number : 718-221-9999
Fax Number :
Provider Business Practice Location Address
First Line : 443 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2821
Country : US
Telephone Number : 718-282-6333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 11/16/2020

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