PRABHA MOHAN MD
NPI 1336443621
Clinic/Center - Primary Care in Kaufman, TX

Active since January 01, 2011CLIA 45D0942156 · Waiver
709 ED HALL DR, SUITE C, KAUFMAN, TX 75142(972) 932-2000(972) 932-0316 Get Directions Write a Review

NPPES record last updated: January 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prabha Mohan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRABHA MOHAN MD (NPI 1336443621) is a healthcare organization registered as a primary care in Kaufman, Texas and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Rich Mohan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336443621
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRABHA MOHAN MD PA
Location Address709 ED HALL DR, SUITE CKaufman, TX 75142-1860
Mailing Address709 Ed Hall Dr, Suite CKaufman, TX 75142-1860 · (972) 932-2000 · Fax (972) 932-0316
Fax(972) 932-0316
Organization SubpartNo
Authorized OfficialRich MohanOffice Manager · (469) 569-7140
Enumeration DateJanuary 1, 2011
NPI 1336443621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TX · K1567
709 ED HALL DR, Kaufman, TX 75142

Other Names 1

Other NamePrabha Mohan Md

Other Identifiers 3

Medicare PIN0018AVTX
Medicaid029765701TX
Medicare UPINF79107TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0942156

Prabha Mohan MD · Kaufman, TX
Active · expires Mar 5, 2028
CLIA Number45D0942156
Laboratory TypeBlood Bank
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorPrabha Mohan MD
Laboratory Phone(972) 932-2000
Laboratory LocationPrabha Mohan MD709 Highway 243 Suite C, Kaufman, TX 75142
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prabha Mohan MD PA's NPI number?

The NPI number for Prabha Mohan MD PA is 1336443621. It was assigned to this organization in the NPPES registry on January 1, 2011. The provider is also known as Prabha Mohan MD.

Where is Prabha Mohan MD PA located?

Prabha Mohan MD PA is located at 709 Ed Hall Dr Suite C, Kaufman, TX 75142. The listed phone number is (972) 932-2000.

What is Prabha Mohan MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Prabha Mohan MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0942156) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prabha Mohan MD PA was last updated on January 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.