Nuthakki, Mohan

Nuthakki, Mohan is an individual health care provider with primary practice located at 6 Glen Cove Dr , Rockport ME 04856-4272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Nuthakki, Mohan can be contacted via phone (207) 301-8000.

Contact Information

Primary practice address
6 Glen Cove Dr Rockport ME 04856-4272
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD24746 Maine
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 060174 Ohio

Profile Details

NPI number 1336331388
LBN Legal business name Nuthakki, Mohan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Jun 11th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336331388 NPPES
Ohio MEDICAID 0795797
Ohio Other 000000756487
Ohio MEDICAID 0167555

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