Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | J1176 | TX |
NPI | 1003916750 |
---|---|
Provider Name | Dr. Uma Y. Mohan |
First Address | Cypress, TX 77429-0017 |
Second Address | Cypress, TX 77429-0017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 23/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
098949301 | (05) | TX |
F44299 | (02) | TX |
J1176 | LICENCE (01) | TX |