Basic Information
Provider Information
NPI: 1275709941
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURAGAM
FirstName: MOHIT
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 E 42ND ST FL 9
Address2:  
City: NEW YORK
State: NY
PostalCode: 100175699
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1190 5TH AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296503
CountryCode: US
TelephoneNumber: 2124271540
FaxNumber: 2124107196
Other Information
ProviderEnumerationDate: 05/02/2008
LastUpdateDate: 08/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X289113NYY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207R00000X289113NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X54653WIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X125053641ILN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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