| Arun K Mohanty Md, Pc | |
|
135 E Lehigh Ave Philadelphia PA 19125-1011 | |
| (215) 425-5400 | |
| Not Available |
| Full Name | Arun K Mohanty Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 E Lehigh Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Arun Mohanty (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2154255400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arun K Mohanty Md, Pc 1462 Hancock Ln Chesterbrook PA 19087-1119 Ph: (215) 425-5400 | Arun K Mohanty Md, Pc 135 E Lehigh Ave Philadelphia PA 19125-1011 Ph: (215) 425-5400 |
| NPI Number | 1811170434 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 9335124916 |
|---|---|
| Medicare Enrollment ID | O20040618001030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811170434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD037130L (Pennsylvania) | Primary |
| Provider Name | Anupam K Mohanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578743381 PECOS PAC ID: 2365585627 Enrollment ID: I20100209000168 |
| Provider Name | Arun K Mohanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407891039 PECOS PAC ID: 7416115845 Enrollment ID: I20120221000414 |
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