DR. KANWAL SHIRAJ MOHAN (NPI# 1811365687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811365687 |
| Entity Type | Individual |
| Full Name | DR. KANWAL SHIRAJ MOHAN |
| Credential | M.D., FRCPC |
| Practice Address |
1425 Madison Ave New York NY 10029-6514 |
| Practice Telephone | 2126598828 |
| Practice Fax Number | 2126598591 |
| Mailing Telephone | 2126598828 |
| Mailing Fax Number | 2126598591 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
P99040 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1425 MADISON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879087 | Jack M Gorman | Psychiatry & Neurology | 1425 Madison Ave, Box 1230, New York, NY 10029 | 2005-08-23 |
| 1780290791 | Naomi Dambreville | Psychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2020-09-16 |
| 1124679469 | Maria S Loizos | Clinical Neuropsychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2019-09-27 |
| 1306406897 | Evan Darwin | Internal Medicine | 1425 Madison Ave, New York, NY 10029-6514 | 2019-06-17 |
| 1538664933 | Jonathan Lee | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave, New York, NY 10029-6514 | 2018-03-27 |
| 1063963346 | Natacha Tardio | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave, 6th Floor (pediatric Allergy Department), New York, NY 10029-6514 | 2016-10-20 |
| 1225408867 | Talia Wiesel | Psychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2015-09-25 |
| 1255716536 | Leena Jayesh Patel | Physician Assistant | 1425 Madison Ave, New York, NY 10029-6514 | 2015-07-28 |
| 1447630926 | Jacqueline Hargrove | Psychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2015-06-01 |
| 1962896019 | Adam H. Korayem | Surgery | 1425 Madison Ave, 4th Floor, Box 1273, New York, NY 10029-6514 | 2015-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669982617 | Vicente J Liz Defillo | Psychiatry & Neurology | 30 W 60th St Apt 1f, New York, NY 10023-7906 | 2017-10-04 |
| 1609025733 | David Bernal Edgcomb | Psychiatry & Neurology | 20 E 9th St # 4k, New York, NY 10003-5944 | 2008-09-12 |
| 1255541322 | Flavia Robotti | Psychiatry & Neurology | 247 3rd Ave Rm 401, New York, NY 10010-7454 | 2007-05-23 |
| 1144432121 | Sarah Jane Fox | Psychiatry & Neurology | 210 West 89 Street, Apt. 1d, New York, NY 10024 | 2007-05-04 |
| 1093937005 | Roger Eban Wolfsohn | Psychiatry & Neurology | 420 East 76th Street, New York, NY 10021 | 2007-05-02 |
| 1962629188 | David Sert Krakow | Psychiatry & Neurology | 40 Park Avenue, Suite 1k, New York, NY 10016 | 2007-04-19 |
| 1952926883 | Elevate Medical, LLC | Psychiatry & Neurology | 33 W 19th St Fl 4, New York, NY 10011-4333 | 2020-06-16 |
| 1053738187 | Eli Louis Bader | Psychiatry & Neurology | 281 1st Ave, New York, NY 10003-2925 | 2014-03-26 |
| 1437597739 | Sahab Yaqubi | Psychiatry & Neurology | 5 E 98th St, New York, NY 10029 | 2013-06-07 |
| 1932426624 | Allison B Deutch | Psychiatry & Neurology | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2010-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.