Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHANDLER VIMAL MOHAN, M.D.
ActiveDR. CHANDLER VIMAL MOHAN, M.D. is a Gynecology healthcare provider located in LAKE CITY, Florida. NPI 1629239561 is currently active in the NPPES registry. Verify at CMS.
Gynecology · LAKE CITY, FL
Registration Details
- NPI Number
- 1629239561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2008 (18.152020286633 yrs)
- Last Updated
- Nov 4, 2016
- Licenses
-
0101243179 (VA)0101243179 (VA)ME101708 (FL)ME101708 (FL)
Practice Information
- Address
-
4812 W US HIGHWAY 90LAKE CITY, FL, 320555126Browse FL providers · Browse ZIP 32055
- Phone
- 3864661106
- Fax
- 3864661821
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- General Practice
- Additional Specialty
- Gynecology
- Additional Specialty
- Obstetrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.