Mohan, Mahesh
Mohan, Mahesh is an individual health care provider with primary practice located at 2710 Saint Francis Dr Ste 419 , Waterloo IA 50702-5634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Mohan, Mahesh can be contacted via phone (319) 272-5000.Contact Information
Primary practice address
2710 Saint Francis Dr Ste 419
Waterloo IA 50702-5634
Phone: (319) 272-5000
Fax: (319) 272-6724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 036136723 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2014036782 | Missouri |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 04-36621 | Kansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 036136723 | Illinois |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD-43470 | Iowa |
Profile Details
| NPI number | 1417269655 |
|---|---|
| LBN Legal business name | Mohan, Mahesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2010 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417269655 | NPPES |
| Kansas | MEDICAID | 201072640A |
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