Dr MOHAN PRABU AYYASWAMY is a male medical professional, specializing in Neurology. He graduated in 1999.
ST VINCENT MEDICAL GROUP INC
2354 W BLVD
KOKOMO
IN
469026069
Tel: 7654574800
| Npi | 1104021062 |
| Pac Id | 5799929535 |
| Professional Enrollment Id | I20160215000145 |
| Last Name | AYYASWAMY |
| First Name | MOHAN PRABU |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Group Practice Pac Id | 7012047640 |
| Number Of Group Practice Members | 705 |
| Line 1 Street Address | 2354 W BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KOKOMO |
| State | IN |
| Zip Code | 469026069 |
| Phone Number | 7654574800 |
| Hospital Affiliation Ccn 1 | 520189 |
| Hospital Affiliation Lbn 1 | AURORA MEDICAL CENTER KENOSHA |
| Hospital Affiliation Ccn 2 | 150010 |
| Hospital Affiliation Lbn 2 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| Hospital Affiliation Ccn 3 | 520138 |
| Hospital Affiliation Lbn 3 | AURORA ST LUKES MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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