Dr. Mamatha G Mohan, MD
Internal Medicine in East Orange, New Jersey
1710016761- Practice location
- 60 Evergreen Place, Suite 400, East Orange, NJ 07018
- Phone
- 973-395-1550
- Fax
- 973-395-1556
- Last updated
- July 27, 2020
Mamatha G. Mohan is an Internal Medicine based in East Orange, NJ. Mamatha G. Mohan practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Mamatha G. Mohan is 1710016761 and holds a License No. MA08172600 (NJ). The current practice location address for Mamatha G. Mohan is 60 Evergreen Place, Suite 400, East Orange, NJ 07018 and can be reached out via phone at 973-395-1550 and via fax at 973-395-1556.
Provider Profile Details
- NPI Number
- 1710016761
- Provider Name
- Mamatha G. Mohan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 60 Evergreen Place, Suite 400, East Orange, NJ 07018
- Phone Number
- 973-395-1550
- Fax Number
- 973-395-1556
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 5, 2007
- Last Update Date
- July 27, 2020
- Certification Date
- July 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Evergreen Place
Suite 400
East Orange, NJ 07018 - City
- East Orange
- State
- New Jersey
- Zip
- 07018
- Phone Number
- 973-395-1550
- Fax Number
- 973-395-1556
Provider Business Mailing Address Details
- Address
- 21 Edgewood Road
Summit, NJ 07901 - City
- Summit
- State
- NJ
- Zip
- 07901
- Phone Number
- 970-395-1550
- Fax Number
- 973-395-1556
License Information
- License Number
- MA08172600
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mamatha G Mohan, MD?
The NPI number of Dr. Mamatha G Mohan, MD is 1710016761. It was assigned on March 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mamatha G Mohan, MD?
Dr. Mamatha G Mohan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA08172600.
Where does Dr. Mamatha G Mohan, MD practice?
The practice location is 60 Evergreen Place, Suite 400, East Orange, NJ 07018. The office can be reached at 973-395-1550 (phone) or 973-395-1556 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710016761 directly on the NPPES registry website.