person
Dr. Chandler Vimal Mohan, MD
Obstetrics Physician in Lake City, Florida
NPI 1629239561

Chandler Vimal Mohan is a Obstetrics Physician based in Lake City, FL and is specialized in Obstetrics. Chandler Vimal Mohan practices in Lake City, FL and has the professional credentials of MD. The NPI Number for Chandler Vimal Mohan is 1629239561 and holds a License No. 0101243179 (Florida).

The current practice location address for Chandler Vimal Mohan is 4812 W Us Highway 90, Lake City, FL and can be reached out via phone at 386-466-1106 and via fax at 386-466-1821. You can also correspond with Chandler Vimal Mohan through the mailing address at PO BOX 1646, LAKE CITY, FL - 32056-1646 (mailing address contact number: 386-466-1106).

Location: 4812 W Us Highway 90, Lake City, FL, 32056-1646
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Provider Profile Details
NPI Number
1629239561
Provider Name
Chandler Vimal Mohan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4812 W Us Highway 90, Lake City, FL, 32056-1646
Phone Number
386-466-1106
Fax Number
386-466-1821
Provider Enumeration Date
06/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629239561 05 VA
002878500 05 FL
institution
Provider Business Practice Location Address Details
Address
4812 W Us Highway 90
City
State
Zip
32055-5126
Phone Number
386-466-1106
Fax Number
386-466-1821
person
Provider Business Mailing Address Details
Address
4812 W Us Highway 90
City
State
Zip
32055-5126
Phone Number
386-466-1106
Fax Number
386-466-1821
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
ME101708 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
0101243179 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
0101243179 (Virginia)
Definition
Definition to come...
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