Provider Demographics
NPI:1629365440
Name:MOHANKUMAR, ADITI (MD)
Entity Type:Individual
Prefix:DR
First Name:ADITI
Middle Name:
Last Name:MOHANKUMAR
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 1:61 LINCOLN ST STE 207
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8272
Mailing Address - Country:US
Mailing Address - Phone:508-875-6124
Mailing Address - Fax:508-875-9349
Practice Address - Street 1:61 LINCOLN ST STE 207
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8272
Practice Address - Country:US
Practice Address - Phone:508-875-6124
Practice Address - Fax:508-875-9349
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA279154207Y00000X
NJ25MA09868100207Y00000X
IL125.059831207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology