Provider Demographics
NPI:1205816873
Name:MOHEY, VINOD K (MD)
Entity Type:Individual
Prefix:DR
First Name:VINOD
Middle Name:K
Last Name:MOHEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:29900 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-1569
Mailing Address - Country:US
Mailing Address - Phone:248-865-9137
Mailing Address - Fax:734-284-8212
Practice Address - Street 1:995 FORD AVE
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192-3861
Practice Address - Country:US
Practice Address - Phone:734-284-3100
Practice Address - Fax:734-284-8212
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIVM046803207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1026150050Medicaid
MI1026150050Medicaid
MI0N11710001Medicare PIN