Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIVYASUDHA MOHAN, D.O.
ActiveDR. DIVYASUDHA MOHAN, D.O. is a Family Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1336597780 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1336597780
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2016 (10.209759214781 yrs)
- Last Updated
- Oct 2, 2025
- Licenses
-
OS019595 (PA)OS019595 (PA)
Practice Information
- Address
-
1139 E LUZERNE STPHILADELPHIA, PA, 191245234Browse PA providers · Browse ZIP 19124
- Phone
- 2155375094
- Fax
- 2155375096
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
Other Family Medicine Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. VINCENT J THOMPSON III | M.D. | 1174526180 |
| DR. LAURA ANNE MURRAY | D.O. | 1306849666 |
| DR. JOSEPH P DIRENZO JR. | DO | 1811991292 |
| DR. CARL NELSON LIEDMAN | D.O. | 1164427910 |
| ADELAIDA MERKER | D.O. | 1104821727 |
| DR. KENNETH L JACOBSON | MD | 1811993363 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.