| Kannappan Mohan, M.d., Inc., Professional Corporation | |
|
583 W Putnam Ave Porterville CA 93257-3260 | |
| (559) 781-6655 | |
| (559) 781-7876 |
| Full Name | Kannappan Mohan, M.d., Inc., Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 583 W Putnam Ave, Porterville, California |
| Authorized Official Name and Position | Kannappan Mohan (OWNER) |
| Authorized Official Contact | 5597816655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kannappan Mohan, M.d., Inc., Professional Corporation 583 W Putnam Ave Porterville CA 93257-3260 Ph: (559) 781-6655 | Kannappan Mohan, M.d., Inc., Professional Corporation 583 W Putnam Ave Porterville CA 93257-3260 Ph: (559) 781-6655 |
| NPI Number | 1922281468 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 0446267124 |
|---|---|
| Medicare Enrollment ID | O20060321000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922281468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | C42107 (California) | Primary |
| Provider Name | Kannappan Mohan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700949872 PECOS PAC ID: 0143236711 Enrollment ID: I20060306000808 |
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