Dr. Girish Chintamani Mohan
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
399 Farmington Ave Ste 260
Farmington
, Connecticut 06032-1979
Dr. Girish Chintamani Mohan
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
399 Farmington Ave Ste 260
Farmington
, Connecticut 06032-1979
(617) 726-5254
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Girish Chintamani Mohan
- 399 Farmington Ave Ste 260
- Farmington, CT
- Zip : 06032-1979
- Phone : (617) 726-5254
Second Address
- Dr. Girish Chintamani Mohan
- 399 Farmington Ave Ste 260
- Farmington, CT
- Zip : 06032-1979
- Phone : (860) 676-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 62550 | CT |
| Y | 207N00000X | Dermatologist | A170186 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 62550 | CT |
| N | 207NS0135X | Procedural Dermatology | 62550 | CT |
National Provider Identifier
| NPI | 1093193161 |
|---|---|
| Provider Name | Dr. Girish Chintamani Mohan |
| First Address | Farmington, CT 06032-1979 |
| Second Address | Farmington, CT 06032-1979 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2015 |
| Last Update Date | 20/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.