Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIDHARTH MOHAN, MSD, BDS, BS
ActiveSIDHARTH MOHAN, MSD, BDS, BS is a Pediatric Dentistry healthcare provider located in SHOREWOOD, Illinois. NPI 1558830794 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SHOREWOOD, IL
Registration Details
- NPI Number
- 1558830794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2018 (7.77075080664 yrs)
- Last Updated
- Oct 6, 2019
- Licenses
-
019.031930 (IL)019.031930 (IL)
Practice Information
- Address
-
964 BROOKFOREST AVESHOREWOOD, IL, 604048807Browse IL providers · Browse ZIP 60404
- Phone
- 8152541177
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.