Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 35.089546 | OH |
N | 207RC0200X | Critical Care Medicine | 39129 | KY |
Y | 207RP1001X | Pulmonary Disease | 35.089546 | OH |
N | 2086S0102X | Surgical Critical Care | 35.089546 | OH |
NPI | 1265482319 |
---|---|
Provider Name | Krishna Mohan |
First Address | Cincinnati, OH 45264-3398 |
Second Address | Cincinnati, OH 45209-1288 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 07/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2521953 | (05) | OH |
64090434 | (05) | KY |
D68763 | (02) |