| Dr Palghat V Mohan Md Pc | |
|
357 Villa Park Cir Stone Mountain GA 30087-3503 | |
| (678) 262-8733 | |
| (888) 272-8899 |
| Full Name | Dr Palghat V Mohan Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 357 Villa Park Cir, Stone Mountain, Georgia |
| Authorized Official Name and Position | Palghat V Mohan (DIRECTOR) |
| Authorized Official Contact | 6782628733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Palghat V Mohan Md Pc 970 Rao Dr Suite A Monroe GA 30655-8491 Ph: (770) 267-2122 | Dr Palghat V Mohan Md Pc 357 Villa Park Cir Stone Mountain GA 30087-3503 Ph: (678) 262-8733 |
| NPI Number | 1992016240 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/08/2019 |
| Medicare PECOS PAC ID | 5496887325 |
|---|---|
| Medicare Enrollment ID | O20100713000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992016240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Palghat V Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902812985 PECOS PAC ID: 0143251520 Enrollment ID: I20050825000418 |
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