IndividualActive
Petaiah Mohan, M.D
NPI 1033295324 · Neonatal-Perinatal Medicine Physician · Beckley, WV
Provider details
- NPI number
- 1033295324
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 18400 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
194 Carriage Dr
Beckley, WV 25801-2804
Phone: (304) 255-6051
Fax: (304) 255-6051
Street-level locationGet directions
Mailing address
1710 Harper Rd
Beckley, WV 25801-3357
Registry dates
- Enumerated
- 2006-10-28
- Last updated
- 2018-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.