Sudeep Mohan (NPI# 1225084643, PAC ID# 7719871177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1225084643 |
| PAC ID by PECOS | 7719871177 |
| Professional Enrollment ID | I20040209000623 |
| Full Name | Sudeep Mohan |
| Organization Legal Name | MCLAREN CENTRAL MICHIGAN |
| Address |
1021 E Main St Central Michigan Community Hospital Edmore MI 48829-8740 |
| Phone Number | 9894662877 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6103733092 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230080 | MCLAREN CENTRAL MICHIGAN |
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| 230041 | MCLAREN BAY REGION |
| Address | Phone | Organization |
|---|---|---|
| 1021 E Main St, Central Michigan Community Hospital, Edmore, MI 48829-8740 | 9894662877 | MCLAREN CENTRAL MICHIGAN |
| 1221 S Dr, Mount Pleasant, MI 48858-3257 | 9897726811 | MCLAREN CENTRAL MICHIGAN |
| 1221 S Dr, Mt Pleasant, MI 48858-3257 | 9897726700 | MCLAREN CENTRAL MICHIGAN |
| Organization Legal Name | MCLAREN CENTRAL MICHIGAN |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Downer | Family Medicine | Mclaren Central Michigan | 2853 Health Pkwy, Mt Pleasant, MI 48858-9374 |
| Malathy Tharumarajah | Internal Medicine | Mclaren Central Michigan | 2935 Health Pkwy, Mt Pleasant, MI 48858-8931 |
| Sheana Kamyszek | Nurse Practitioner | Mclaren Central Michigan | 1523 S Mission St, Mt Pleasant, MI 48858-4230 |
| Joseph I Shawi | Obstetrics/gynecology | Mclaren Central Michigan | 4599 Jennifer Ln, Mt Pleasant, MI 48858-2064 |
| Rebecca Sue Guenthardt | Physician Assistant | Mclaren Central Michigan | 1221 S Dr, Mount Pleasant, MI 48858-3257 |
| Tricia Lawton | Physician Assistant | Mclaren Central Michigan | 1970 Ashland Dr, Mt Pleasant, MI 48858-1203 |
| Terry Ball | Family Medicine | Mclaren Central Michigan | 1509 N Mcewan St, Clare, MI 48617-1113 |
| Kyle J Gilde | Anesthesiology | Mclaren Central Michigan | 1221 S Dr, Mt Pleasant, MI 48858-3257 |
| Kent A Kirby | Urology | Mclaren Central Michigan | 1221 S Dr, Mount Pleasant, MI 48858-3257 |
| Lakshmi P Shankariah | Internal Medicine | Mclaren Central Michigan | 1201 S Dr, Mt Pleasant, MI 48858-3255 |
| Street Address |
1021 E MAIN ST CENTRAL MICHIGAN COMMUNITY HOSPITAL |
| City | EDMORE |
| State | MI |
| Zip | 48829-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Snyder | Nurse Practitioner | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Ladawn M Logic | Nurse Practitioner | Isabella Medical Associates, Pllc | 1021 E Main St, Suite B, Edmore, MI 48829-8740 |
| Sailaja Sarvepalli | Family Medicine | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Prakash Sarvepalli | Internal Medicine | Isabella Medical Associates, Pllc | 1021 E Main St, Suite B, Edmore, MI 48829-8740 |
| Daniel Richard Brennan | Physician Assistant | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Stephanie E Boring | Physician Assistant | Great Lakes Medical Associates, PC | 1021 E Main St, Edmore, MI 48829-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey K Lee | Chiropractic | 215 Howard City Edmore Rd, Edmore, MI 48829-9779 |
| City | EDMORE |
| Zip Code | 48829 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | EDMORE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Sudeep Mohan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.