Mohan, Chandler Vimal
Mohan, Chandler Vimal is an individual health care provider with primary practice located at 4812 W Us Highway 90 , Lake City FL 32055-5126. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Mohan, Chandler Vimal can be contacted via phone (386) 466-1106.Contact Information
Primary practice address
4812 W Us Highway 90
Lake City FL 32055-5126
Phone: (386) 466-1106
Fax: (386) 466-1821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 0101243179 | Virginia |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101243179 | Virginia |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | ME101708 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ME101708 | Florida |
Profile Details
| NPI number | 1629239561 |
|---|---|
| LBN Legal business name | Mohan, Chandler Vimal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Nov 4th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629239561 | NPPES |
| Virginia | MEDICAID | 1629239561 | |
| Virginia | MEDICAID | 002878500 |
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