Dr. Petaiah Mohan
Neonatal-Perinatal Doctor
194 Carriage Dr
Beckley
, West Virginia 25801-2804
Dr. Petaiah Mohan
Neonatal-Perinatal Doctor
194 Carriage Dr
Beckley
, West Virginia 25801-2804
(304) 255-6051
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About
Features
Specialties
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Dr. Petaiah Mohan
- 1710 Harper Rd
- Beckley, WV
- Zip : 25801-3357
- Fax : (304) 255-6051
- Phone : (304) 255-6051
Second Address
- Dr. Petaiah Mohan
- 194 Carriage Dr
- Beckley, WV
- Zip : 25801-2804
- Fax : (304) 255-6051
- Phone : (304) 255-6051
Reviews
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Is Dr. Petaiah Mohan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080N0001X | Neonatal-Perinatal Doctor | 18400 | WV |
National Provider Identifier
| NPI | 1033295324 |
|---|---|
| Provider Name | Dr. Petaiah Mohan |
| First Address | Beckley, WV 25801-3357 |
| Second Address | Beckley, WV 25801-2804 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2006 |
| Last Update Date | 14/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0110044000 | (05) | WV |
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.