Mohan, Venkatachala
Mohan, Venkatachala is an individual health care provider with primary practice located at 1135 116Th Ave Ne #560, Bellevue WA 98004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mohan, Venkatachala can be contacted via phone (425) 454-4768.Contact Information
Primary practice address
1135 116Th Ave Ne #560
Bellevue WA 98004
Phone: (425) 454-4768
Fax: (425) 462-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 50607 | Montana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 37468 | Washington |
Profile Details
| NPI number | 1194704106 |
|---|---|
| LBN Legal business name | Mohan, Venkatachala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Feb 20th, 2024 - about last year |
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 | 1194704106 | NPPES |
| Washington | MEDICAID | 8248411 | |
| Washington | Other | 141895 |
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