Mohan, Krishna Jatavallabhula
Mohan, Krishna Jatavallabhula is an individual health care provider with primary practice located at 158 W College St , Covina CA 91723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mohan, Krishna Jatavallabhula can be contacted via phone (626) 331-0175.Contact Information
Primary practice address
158 W College St
Covina CA 91723
Phone: (626) 331-0175
Fax: (626) 967-3849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A34175 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A34175 | California |
Profile Details
| NPI number | 1477645786 |
|---|---|
| LBN Legal business name | Mohan, Krishna Jatavallabhula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Aug 16th, 2011 - about 15 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 | 1477645786 | NPPES |
| California | MEDICAID | 00A341750 |
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