Mohan, Chandra M
Mohan, Chandra M is an individual health care provider with primary practice located at 141 N Vine St , Hazleton PA 18201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mohan, Chandra M can be contacted via phone (570) 454-2467.Contact Information
Primary practice address
141 N Vine St
Hazleton PA 18201
Phone: (570) 454-2467
Fax: (570) 455-2070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD030327E | Pennsylvania |
Profile Details
| NPI number | 1972542736 |
|---|---|
| LBN Legal business name | Mohan, Chandra M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Feb 19th, 2020 - about 6 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 | 1972542736 | NPPES |
| Pennsylvania | MEDICAID | 0011229010001 | |
| Pennsylvania | Other | 50005161 | |
| Pennsylvania | MEDICAID | 001122901-0003 | |
| Pennsylvania | Other | 080335 | |
| Pennsylvania | Other | P00092581 |
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