Mohan, Ventrapragada S

Mohan, Ventrapragada S is an individual health care provider with primary practice located at 340 W Lincoln St Ste 300 , Belleville IL 62220-1900. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mohan, Ventrapragada S can be contacted via phone (618) 235-4883.

Contact Information

Primary practice address
340 W Lincoln St Ste 300 Belleville IL 62220-1900
Phone: (618) 235-4883
Fax: (618) 235-9573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 36056737 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 36056737 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35338 Missouri
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36056737 Illinois

Profile Details

NPI number 1649321183
LBN Legal business name Mohan, Ventrapragada S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Sep 23rd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649321183 NPPES
Missouri Other BLC21725 BLUE CHOICE OF MISSOURI
Missouri Other 28568 BLUE CHOICE OF MISSOURI
Missouri Other 4606572 BLUE CHOICE OF MISSOURI
Missouri Other HEALTH PARTNERS BLUE CHOICE OF MISSOURI
Missouri Other HEALTH ALLIANCE BLUE CHOICE OF MISSOURI
Missouri Other 371067092002 BLUE CHOICE OF MISSOURI
Missouri Other L013062 BLUE CHOICE OF MISSOURI
Missouri Other 166028 BLUE CHOICE OF MISSOURI
Missouri MEDICAID 36056737 BLUE CHOICE OF MISSOURI
Missouri Other 4469353002 BLUE CHOICE OF MISSOURI
Missouri Other 4809004 BLUE CHOICE OF MISSOURI
Missouri Other CF6007 BLUE CHOICE OF MISSOURI
Missouri Other 08215136 BLUE CHOICE OF MISSOURI
Missouri Other 8215136 BLUE CHOICE OF MISSOURI
Missouri Other HARMONY BLUE CHOICE OF MISSOURI

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