Mohans Pc is a Specialist based in Phoenix, AZ. Mohans Pc practices in Phoenix, AZ. The NPI Number for Mohans Pc is 1265466445 and holds a License No. 30571 (Arizona).
The current practice location address for Mohans Pc is 19829 N 27Th Ave, Phoenix, AZ and can be reached out via phone at 623-931-1225 and via fax at 623-931-0088.
Location: 19829 N 27Th Ave, Phoenix, AZ, 85069-1349
Provider Profile Details
NPI Number
1265466445
Provider Name
Mohans Pc
Credential
Provider Entity Type
Organization
Address
19829 N 27Th Ave, Phoenix, AZ, 85069-1349
Phone Number
623-931-1225
Fax Number
623-931-0088
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0737950 | 01 | AZ | BLUE CROSS BLUE SHIELD |
| P00059001 | 01 | AZ | RAILROAD MEDICARE |
| 708729 | 05 | AZ | |
| AW4710 | 01 | AZ | HEALTHNET |
Provider Business Practice Location Address Details
Address
19829 N 27Th Ave
City
State
Zip
85027
Phone Number
623-931-1225
Fax Number
623-931-0088
Provider Business Mailing Address Details
Address
19829 N 27Th Ave
City
State
Zip
85027
Phone Number
623-931-1225
Fax Number
623-931-0088
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
30571 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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