PRADEEP S MOHAN MD NPI 1235351610

NPI Information

NPI: 1235351610
Provider Name: PRADEEP S MOHAN, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
4200 GREEN VALLEY RD
CIBOLO, TX
ZIP 78108
Phone: (325) 665-9111
Get Directions

Pradeep S Mohan, MD is a plastic and reconstructive surgery surgery in Cibolo, TX with 25 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Pradeep S Mohan, MD NPI is 1235351610. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4200 GREEN VALLEY RD
CIBOLO, TX
ZIP 78108-900
Phone: (325) 665-9111

The NPI 1235351610 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 4/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	036116392	ILLINOIS	No
2	2086S0105X	Surgery	Surgery of the Hand	036116392	ILLINOIS	No
3	2086S0105X	Surgery	Surgery of the Hand	N8956	TEXAS	No
4	2086S0122X	Surgery	Plastic and Reconstructive Surgery	N8956	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50021605	OTHER	KENTUCKY	PASSPORT
2	0687855	MEDICARE PIN	KENTUCKY
3	3581444000	OTHER	KENTUCKY	PASSPORT ADVANTAGE
4	7100067840	MEDICAID	KENTUCKY
5	200922110	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »