Mohan, Krishna Jatavallabhula

Mohan, Krishna Jatavallabhula is an individual health care provider with primary practice located at 158 W College St , Covina CA 91723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mohan, Krishna Jatavallabhula can be contacted via phone (626) 331-0175.

Contact Information

Primary practice address
158 W College St Covina CA 91723
Phone: (626) 331-0175
Fax: (626) 967-3849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A34175 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A34175 California

Profile Details

NPI number 1477645786
LBN Legal business name Mohan, Krishna Jatavallabhula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Aug 16th, 2011 - about 14 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 1477645786 NPPES
California MEDICAID 00A341750

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