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NPI Code Detail

MEDICARE: MAYA MOHAN

MEDICARE: MAYA MOHAN
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
1171400000XHealth & Wellness CoachA-3278276

General Provider Information

NPI Number : 1528802683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYA MOHAN
Provider Business Mailing Address
First Line : 1210 210TH AVE NE
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-6614
Country : US
Telephone Number : 425-442-6055
Fax Number :
Provider Business Practice Location Address
First Line : 711 CAPITOL WAY S STE 204
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-1267
Country : US
Telephone Number : 608-433-9736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2024
Last Update Date : 06/24/2024

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Directions to “ MAYA MOHAN ” Practice Location

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