Provider Demographics
NPI:1962952291
Name:APARNA MOHAN MD PA
Entity type:Organization
Organization Name:APARNA MOHAN MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APARNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-627-0510
Mailing Address - Street 1:PO BOX 720732
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0732
Mailing Address - Country:US
Mailing Address - Phone:956-627-0510
Mailing Address - Fax:
Practice Address - Street 1:3001 N MCCOLL ST
Practice Address - Street 2:
Practice Address - City:HIDALGO
Practice Address - State:TX
Practice Address - Zip Code:78557
Practice Address - Country:US
Practice Address - Phone:956-627-0510
Practice Address - Fax:956-627-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7951207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX367830203Medicaid
TX00R3Z7OtherGROUP BCBS
TX367830201Medicaid
TX367830202Medicaid
TXDX1316OtherRAIL ROAD MEDICARE