Mysore, Mohan R
Mysore, Mohan R is an individual health care provider with primary practice located at 8200 Dodge St Childrens Hospital - Critical Care, Omaha NE 68114-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Mysore, Mohan R can be contacted via phone (402) 955-4226.Contact Information
Primary practice address
8200 Dodge St Childrens Hospital - Critical Care
Omaha NE 68114-4113
Phone: (402) 955-4226
Fax: (402) 955-3262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 20575 | Nebraska |
Profile Details
| NPI number | 1346290657 |
|---|---|
| LBN Legal business name | Mysore, Mohan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346290657 | NPPES |
| Other | 8938 | MIDLANDS CHOICE | |
| MEDICAID | 0909416 | MIDLANDS CHOICE | |
| Other | 32104 | MIDLANDS CHOICE |
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