Provider Demographics
NPI:1346917499
Name:MOHAN, GISHA (MD)
Entity Type:Individual
Prefix:
First Name:GISHA
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 1:2701 DEKALB PIKE
Mailing Address - Street 2:SUBURBAN COMMUNITY HOSPITAL, GRADUATE MEDICAL EDUCATION
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401
Mailing Address - Country:US
Mailing Address - Phone:610-278-2003
Mailing Address - Fax:610-278-2832
Practice Address - Street 1:2701 DEKALB PIKE
Practice Address - Street 2:SUBURBAN COMMUNITY HOSPITAL, GRADUATE MEDICAL EDUCATION
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-278-2003
Practice Address - Fax:610-278-2832
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program