| Organization Name: | PRABHA MOHAN MD PA |
| NPI Number: | 1336443621 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICH MOHAN (OFFICE MANAGER) |
| Mailing Address: | 709 Ed Hall Dr Suite C Kaufman |
| State: | TX US |
| Postal Code: | 751421860 |
| Phone Number: | 9729322000 |
| Fax Number: | 9729320316 |
| NPI Enumeration Date: | 01/01/2011 |
| NPI Last Update Date: | 01/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | K1567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |