Pradeep S Mohan
Surgery of the Hand Plastic and Reconstructive Surgery
4200 Green Valley Rd
Cibolo
, Texas 78108-1900
Pradeep S Mohan
Surgery of the Hand Plastic and Reconstructive Surgery
4200 Green Valley Rd
Cibolo
, Texas 78108-1900
(325) 665-9111
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About
Features
Specialties
- Surgery of the Hand
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Pradeep S Mohan
- 4200 Green Valley Rd
- Cibolo, TX
- Zip : 78108-1900
- Phone : (325) 665-9111
Second Address
- Pradeep S Mohan
- 4200 Green Valley Rd
- Cibolo, TX
- Zip : 78108-1900
- Phone : (325) 665-9111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0105X | Surgery of the Hand | 036116392 | IL |
| N | 2086S0105X | Surgery of the Hand | N8956 | TX |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 036116392 | IL |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | N8956 | TX |
National Provider Identifier
| NPI | 1235351610 |
|---|---|
| Provider Name | Pradeep S Mohan |
| First Address | Cibolo, TX 78108-1900 |
| Second Address | Cibolo, TX 78108-1900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/05/2007 |
| Last Update Date | 23/04/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200922110 | (05) | IN |
| 3581444000 | PASSPORT ADVANTAGE (01) | KY |
| 50021605 | PASSPORT (01) | KY |
| 7100067840 | (05) | KY |
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.