Provider Demographics
NPI:1760453831
Name:MOHAN, FRANCIS PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:PATRICK
Last Name:MOHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 OAK GROVE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PINE GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17963-1226
Mailing Address - Country:US
Mailing Address - Phone:570-345-3321
Mailing Address - Fax:570-345-6470
Practice Address - Street 1:8 OAK GROVE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:PINE GROVE
Practice Address - State:PA
Practice Address - Zip Code:17963-1226
Practice Address - Country:US
Practice Address - Phone:570-345-3321
Practice Address - Fax:570-345-6470
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040308E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001128610Medicaid
PA199583JPUMedicare ID - Type Unspecified
PAD71593Medicare UPIN