Mohan, Bhat Krishna

Mohan, Bhat Krishna is an individual health care provider with primary practice located at 6507 Professional Pl , Riverdale GA 30274-4941. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mohan, Bhat Krishna can be contacted via phone (770) 991-2100.

Contact Information

Primary practice address
6507 Professional Pl Riverdale GA 30274-4941
Phone: (770) 991-2100
Fax: (770) 991-2500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 019407 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 019407 Georgia

Profile Details

NPI number 1043219256
LBN Legal business name Mohan, Bhat Krishna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 5th, 2013 - about 13 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 1043219256 NPPES
Georgia MEDICAID 00151445A

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