Papudesu, Mohan

Papudesu, Mohan is an individual health care provider with primary practice located at 603 E Lamar St , Americus GA 31709-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Papudesu, Mohan can be contacted via phone (229) 928-3444.

Contact Information

Primary practice address
603 E Lamar St Americus GA 31709-3737
Fax: (229) 928-3446
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 029063 Georgia

Profile Details

NPI number 1356326961
LBN Legal business name Papudesu, Mohan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jun 11th, 2019 - 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 1356326961 NPPES
Georgia MEDICAID 000968976A
Georgia Other 022135

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