Mohan, Petaiah
Mohan, Petaiah is an sole proprietor health care provider with primary practice located at 194 Carriage Dr , Beckley WV 25801-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Mohan, Petaiah can be contacted via phone (304) 255-6051.Contact Information
Primary practice address
194 Carriage Dr
Beckley WV 25801-2804
Phone: (304) 255-6051
Fax: (304) 255-6051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 18400 | West Virginia |
Profile Details
| NPI number | 1033295324 |
|---|---|
| LBN Legal business name | Mohan, Petaiah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2006 |
| Last updated | Dec 14th, 2018 - about 7 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 | 1033295324 | NPPES |
| West Virginia | MEDICAID | 0110044000 |
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