| Krishna J Mohan M D Inc | |
|
171 W Cottage Dr Covina CA 91723-2010 | |
| (626) 331-0175 | |
| (626) 967-3849 |
| Full Name | Krishna J Mohan M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 171 W Cottage Dr, Covina, California |
| Authorized Official Name and Position | Krishna Jatavallabhula Mohan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6263310175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna J Mohan M D Inc 171 W Cottage Street Covina CA 91723 Ph: (626) 331-0175 | Krishna J Mohan M D Inc 171 W Cottage Dr Covina CA 91723-2010 Ph: (626) 331-0175 |
| NPI Number | 1780781997 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 9830184217 |
|---|---|
| Medicare Enrollment ID | O20040415001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780781997 | NPI | - | NPPES |
| 00A341750 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | () | Primary |
| Provider Name | Krishna J Mohan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477645786 PECOS PAC ID: 3072424035 Enrollment ID: I20040416000395 |
| Provider Name | Sheri Aihuong Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639261951 PECOS PAC ID: 5294717682 Enrollment ID: I20040601000788 |
| Provider Name | Farhad Rezvani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982796207 PECOS PAC ID: 9739239187 Enrollment ID: I20090608000004 |
| Provider Name | Apoorva Ananth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558866863 PECOS PAC ID: 5799196317 Enrollment ID: I20210921004024 |
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