Mohan, Maneesh
Mohan, Maneesh is an sole proprietor health care provider with primary practice located at 5100 Outer Loop Suite B, Louisville KY 40219-3201. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Mohan, Maneesh can be contacted via phone (502) 966-8660.Contact Information
Primary practice address
5100 Outer Loop Suite B
Louisville KY 40219-3201
Phone: (502) 966-8660
Fax: (502) 969-8444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8191 | Kentucky |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12011030A | Indiana |
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 8181 | Kentucky |
Profile Details
| NPI number | 1154310985 |
|---|---|
| LBN Legal business name | Mohan, Maneesh |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 12th, 2014 - about 10 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 | 1154310985 | NPPES |
| Indiana | MEDICAID | 200872180 | |
| Indiana | Other | 9179239 | |
| Indiana | MEDICAID | 6411381400 | |
| Indiana | MEDICAID | 204E0000X | |
| Indiana | Other | 50007575 |
Popular Providers
-
Kushner, George
501 S. Preston St. School Of Dentistry, Suite 334, Louisville KY 40292-0001 -
Miller, Mark D.
1211 W Broadway Unit 106 , Louisville KY 40203-2082 -
Walters, Nathan Frederick
2800 Cannons Ln Ste 200 , Louisville KY 40205-2164 -
Harris, Julie M
3101 Breckenridge Ln Ste 2D, Louisville KY 40220-2742 -
Pape, Richard A
3101 Breckenridge Ln Ste 2D, Louisville KY 40220-2742 -
Babcock, Christopher C
225 Abraham Flexner Way Ste 302, Louisville KY 40202-1882 -
Mills, Geoffrey Caleb
225 Abraham Flexner Way Suite 302, Louisville KY 40202-1882 -
Epstein, William M
3101 Breckenridge Ln Ste 2D, Louisville KY 40220-2742