Provider Demographics
NPI:1093776650
Name:MOHAN, APARNA (MD)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:MOHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720732
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0732
Mailing Address - Country:US
Mailing Address - Phone:956-627-0510
Mailing Address - Fax:956-627-0510
Practice Address - Street 1:3001 N MCCOLL ST
Practice Address - Street 2:
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557-3935
Practice Address - Country:US
Practice Address - Phone:956-627-0510
Practice Address - Fax:956-627-0510
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7951207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX167015004Medicaid
TX270200ZXN4OtherMEDICARE
TXP01775238OtherRAILROAD MEDICARE
TX167015001Medicaid
TX167015014Medicaid
TX167015013Medicaid
TX8GP011OtherBCBS