Individual provider · Type 1 NPI

Divyasudha Mohan, DO

Family Medicine Physician · Philadelphia, PA

NPI number 1336597780 Active

Practice location

1139 E Luzerne St
Philadelphia, PA 19124-5234

Call (215) 537-5094 Map

Fax (215) 537-5096

Mailing address

10800 Knights Rd
Philadelphia, PA 19114-4200

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XOS019595 (PA)
Emergency Medicine Physician 207P00000XOS019595 (PA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Philadelphia

See all in Philadelphia →

About NPI 1336597780

Divyasudha Mohan, DO's National Provider Identifier is 1336597780, issued on May 26, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 2, 2025.