MEDICARE: MOHAN KUMAR SADANA 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	208200000X	Plastic Surgery Physician	97541	GA
2	208200000X	Plastic Surgery Physician	153717	NY

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	:	1750345104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAN KUMAR SADANA MD

Provider Business Mailing Address
First Line	:	5224 75TH ST STE D
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-2525
Country	:	US
Telephone Number	:	806-712-1096
Fax Number	:	806-771-2093

Provider Business Practice Location Address
First Line	:	3744 WOODRUFF RD STE 3728
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5601
Country	:	US
Telephone Number	:	706-686-0606
Fax Number	:	855-576-4074

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	02/12/2026

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