MEDICARE: MUKUND MOHAN 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
1	207P00000X	Emergency Medicine Physician	35.151056	OH

General Provider Information

NPI Number	:	1316528078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUKUND MOHAN MD

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-8305
Fax Number	:	614-685-7108

Provider Business Practice Location Address
First Line	:	410 W 10TH AVE STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43210-1240
Country	:	US
Telephone Number	:	614-293-8000
Fax Number	:	614-293-8305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	03/05/2026

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Directions to “ MUKUND MOHAN MD” Practice Location

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