Bangaru, Mohan Krishna
Bangaru, Mohan Krishna is an sole proprietor health care provider with primary practice located at 4201 Saint Antoine St , Detroit MI 48201-2153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bangaru, Mohan Krishna can be contacted via phone (313) 745-7145.Contact Information
Primary practice address
4201 Saint Antoine St
Detroit MI 48201-2153
Phone: (313) 745-7145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301119098 | Michigan |
Profile Details
| NPI number | 1275932121 |
|---|---|
| LBN Legal business name | Bangaru, Mohan Krishna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2014 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275932121 | NPPES |
| Michigan | Other | B526609478425 | DRIVING LICENSE |
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