NPI 1033295324

Petaiah Mohan, MD

Practitioner Neonatal-Perinatal Medicine Physician Beckley, WV

Practice location

Address: 194 Carriage Dr, Beckley, WV 25801-2804
Phone: (304) 255-6051
Fax: (304) 255-6051
Mailing address: 1710 Harper Rd, Beckley, WV 25801-3357

Registered specialties

Neonatal-Perinatal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080N0001X Licence 18400 (WV)

Other Pediatrics providers in West Virginia →

Registry record

NPI: 1033295324
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2006
Record last updated: 14 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.