Mohan, Pradeep S
Mohan, Pradeep S is an individual health care provider with primary practice located at 4200 Green Valley Rd , Cibolo TX 78108-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Mohan, Pradeep S can be contacted via phone (325) 665-9111.Contact Information
Primary practice address
4200 Green Valley Rd
Cibolo TX 78108-1900
Phone: (325) 665-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 036116392 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 036116392 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | N8956 | Texas |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | N8956 | Texas |
Profile Details
| NPI number | 1235351610 |
|---|---|
| LBN Legal business name | Mohan, Pradeep S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Apr 23rd, 2017 - about 9 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 | 1235351610 | NPPES |
| Kentucky | Other | 3581444000 | PASSPORT ADVANTAGE |
| Kentucky | MEDICAID | 200922110 | PASSPORT ADVANTAGE |
| Kentucky | MEDICAID | 7100067840 | PASSPORT ADVANTAGE |
| Kentucky | Other | 50021605 | PASSPORT ADVANTAGE |
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