MEDICARE: AMAR 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	207R00000X	Internal Medicine Physician	35.097246	OH
2	207R00000X	Internal Medicine Physician	2024-03298	NC
3	207R00000X	Internal Medicine Physician	66531	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578724886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAR MOHAN MD

Provider Business Mailing Address
First Line	:	10911 RAVEN RIDGE RD STE 103-93
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-8362
Country	:	US
Telephone Number	:	404-734-8193
Fax Number	:	404-328-7339

Provider Business Practice Location Address
First Line	:	704 BREEDLOVE DR
Second Line	:	STE A
City	:	MONROE
State	:	GA
Zip	:	30655-2054
Country	:	US
Telephone Number	:	888-772-0076
Fax Number	:	770-751-8014

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

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	10/14/2025

Similar Medicare Providers

1699300939 — CHRONIC DISEASE MANAGEMENT OF GEORGIA, LLC
Practice Location Address:

704 BREEDLOVE DR STE A
MONROE, GA
30655-2054

Practice Phone: 888-772-0076
Practice Fax: 770-751-8014

1659256857 — MRS. SHAYLEECE EDWARDS NP
Practice Location Address:

704 BREEDLOVE DR
MONROE, GA
30655-2054

Practice Phone: 888-772-0076
Practice Fax:

1104930023 — NEPHRON CORPORATION
Practice Location Address:

710 BREEDLOVE DR
MONROE, GA
30655-2054

Practice Phone: 770-962-1231
Practice Fax: 770-513-2107

1699964858 — GEORGIA LAPAROSPIC SURGICAL SPECIALISTS PC
Practice Location Address:

704 BREEDLOVE DR STE B
MONROE, GA
30655-2054

Practice Phone: 770-266-6252
Practice Fax:

1801160353 — MRS. LISA L. CLARK FNP
Practice Location Address:

704 BREEDLOVE DR STE A
MONROE, GA
30655-2054

Practice Phone: 803-818-6900
Practice Fax:

1619317542 — TRANSITIONAL CARE PHYSICIANS OF GEORGIA PC
Practice Location Address:

704 BREEDLOVE DR , STE A
MONROE, GA
30655-2054

Practice Phone: 888-772-0076
Practice Fax: 770-751-8014

Directions to “ AMAR MOHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.