Tadikonda, Mohan V.
Tadikonda, Mohan V. is an individual health care provider with primary practice located at 3191 Oak Knoll Dr , Los Alamitos CA 90720-4516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Tadikonda, Mohan V. can be contacted via phone (562) 365-3022.Contact Information
Primary practice address
3191 Oak Knoll Dr
Los Alamitos CA 90720-4516
Phone: (562) 365-3022
Fax: (888) 596-7302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A85738 | California |
Profile Details
| NPI number | 1326083858 |
|---|---|
| LBN Legal business name | Tadikonda, Mohan V. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 24th, 2015 - about 9 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 | 1326083858 | NPPES |
| Indiana | MEDICAID | 200462050 |
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