DIVYASUDHA MOHAN

PHILADELPHIA, PA
NPI1336597780
Other NameDIVYA MOHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS019595)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  OT017058)
207P00000X Emergency Medicine
(Licence: PA  OS019595)
Enumeration Date2016-05-26
Last Update Date2024-02-07
Business Address
Dr. DIVYASUDHA MOHAN D.O.
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161
Mailing Address
Dr. DIVYASUDHA MOHAN D.O.
10800 KNIGHTS RD
PHILADELPHIA, PA 19114-4200
Phone number: 215-612-5161