Kamadana, Mohan Rao

Kamadana, Mohan Rao is an individual health care provider with primary practice located at 661 S Trimble Rd , Mansfield OH 44906-3437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kamadana, Mohan Rao can be contacted via phone (419) 774-0478.

Contact Information

Primary practice address
661 S Trimble Rd Mansfield OH 44906-3437
Phone: (419) 774-0478
Fax: (419) 774-9887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35042134 Ohio

Profile Details

NPI number 1316944960
LBN Legal business name Kamadana, Mohan Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Feb 3rd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316944960 NPPES
Ohio Other KI9260531 GROUP MEDICARE
Ohio Other 0114549 GROUP MEDICARE
Ohio MEDICAID 0428497 GROUP MEDICARE

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