Provider Demographics
NPI:1205160074
Name:BROOKLYN WOMEN'S PAVILLLION OB/GYN, PLLC.
Entity type:Organization
Organization Name:BROOKLYN WOMEN'S PAVILLLION OB/GYN, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHENDRANAUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-222-0123
Mailing Address - Street 1:44 COURT ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4405
Mailing Address - Country:US
Mailing Address - Phone:718-222-0123
Mailing Address - Fax:718-222-1039
Practice Address - Street 1:44 COURT ST
Practice Address - Street 2:SUITE 322
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4405
Practice Address - Country:US
Practice Address - Phone:718-222-0123
Practice Address - Fax:718-222-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty