A.S.LALITH MOHAN M.D. PROF. INC NPI 1366559486

NPI Information

  • NPI: 1366559486
  • Provider Name: A.S.LALITH MOHAN M.D. PROF. INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: A.S.LALITH MOHAN M.D. PROF.INC
  • Address: 108 LYNCH CREEK WAY
    #3
    PETALUMA, CA
    ZIP 94954
  • Phone: (707) 762-5078

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NPI Details

A.S.LALITH MOHAN M.D. PROF. INC is a cardiovascular disease internal medicine in Petaluma, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. A.S.LALITH MOHAN M.D. PROF. INC NPI is 1366559486. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As A.s.lalith Mohan M.d. Prof.inc.

The provider's business location address is:

108 LYNCH CREEK WAY
#3
PETALUMA, CA
ZIP 94954
Phone: (707) 762-5078
Fax: (707) 763-7030

The provider's authorized official is Adamane S Lalith Mohan .
The authorized official title is President and has the following contact phone number (707) 762-5078.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 2/15/2012.

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
1207RC0000XInternal MedicineCardiovascular DiseaseA32849CALIFORNIAYes

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
1C03913MEDICARE UPINCALIFORNIA
2FS937AMEDICARE PINCALIFORNIA

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: 11/21/2025

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