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NPI Code Detail

MEDICARE: DR. MOHAN YS M.D.

MEDICARE: DR. MOHAN YS M.D.
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
1207T00000XNeurological Surgery Physician4301068711MI
2207T00000XNeurological Surgery PhysicianA104705CA

General Provider Information

NPI Number : 1386854602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAN YS M.D.
Provider Business Mailing Address
First Line : 2450 WALTON BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1481
Country : US
Telephone Number : 248-275-1144
Fax Number : 248-275-1146
Provider Business Practice Location Address
First Line : 2450 WALTON BLVD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48309-1481
Country : US
Telephone Number : 248-275-1144
Fax Number : 248-275-1146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 02/02/2017

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