Ancy Mohan

Pediatrics Physician · Minneapolis, MN

Individual Active NPI

NPI number 1134650419

Practice location

2450 Riverside Ave Fl 5
Minneapolis, MN 55454-1450
Phone
(612) 624-8788

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NPI record

NPI
1134650419
Entity type
Individual (Type 1)
Enumeration date
March 27, 2017
Last updated
February 17, 2023
Certified
February 17, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 67007 MN
Pediatrics Physician 208000000X 125070298 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 228 S Illinois Dr, Arlington Heights, IL 60005-1615 · (224) 659-4695

About Ancy Mohan

Ancy Mohan is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2450 Riverside Ave Fl 5, Minneapolis, MN 55454-1450. The NPI number 1134650419 was assigned on March 27, 2017 and the record was last updated on February 17, 2023.

Ancy Mohan lists 2 licenses in the registry: #67007 (MN) for Pediatrics Physician; #125070298 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ancy Mohan?

The NPI number is 1134650419.

What is the phone number of Ancy Mohan?

The phone number listed for the practice location is (612) 624-8788.

Where is Ancy Mohan located?

2450 Riverside Ave Fl 5, Minneapolis, MN 55454-1450.

What is the taxonomy code for Ancy Mohan?

The primary taxonomy code is 208000000X – Pediatrics Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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