Gurubhagavatula, Mohan

Gurubhagavatula, Mohan is an individual health care provider with primary practice located at 301 E City Ave Ste 235 , Bala Cynwyd PA 19004-1710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gurubhagavatula, Mohan can be contacted via phone (610) 664-8200.

Contact Information

Primary practice address
301 E City Ave Ste 235 Bala Cynwyd PA 19004-1710
Phone: (610) 664-8200
Fax: (866) 267-4029
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X OS012602 Pennsylvania

Profile Details

NPI number 1467423624
LBN Legal business name Gurubhagavatula, Mohan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467423624 NPPES
Pennsylvania Other GU1507200 PIN NUMBER

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