CHANDRA M MOHAN (NPI# 1972542736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972542736 |
| Entity Type | Individual |
| Full Name | CHANDRA M MOHAN |
| Other Name | AVVERAHALLI M. CHANDRA MOHAN |
| Credential | MD |
| Practice Address |
141 N Vine St Hazleton PA 18201 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 5704542467 |
| Practice Fax Number | 5704552070 |
| Mailing Telephone | 4848844500 |
| Mailing Fax Number | 4848840699 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD030327E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 50005161 | 01 |
| PA | RAILROAD MEDICARE | P00092581 | 01 |
| FIRST PRIORITY HEALTH | 080335 | 01 | |
| PA | 0011229010001 | 05 | |
| PA | 001122901-0003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738433 | Chandra Mohan | Specialist | 2200 S George St, Ste W-2, York, PA 17403-4594 | 2005-05-23 |
| Street Address |
141 N VINE ST |
| City | HAZLETON |
| State | PA |
| Zip Code | 18201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730147067 | Thomas J Ciotola | Internal Medicine | 141 N Vine St, Hazleton, PA 18201 | 2006-05-03 |
| 1467491217 | Cardiology Associates of Greater Hazleton PC | Internal Medicine | 141 N Vine St, Hazleton, PA 18201 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335244 | Alfreda A Wujcik | Counselor | 750 E Broad Street, Hazleton, PA 18201 | 2020-01-24 |
| 1811468127 | Omni Health Services, Inc. | Peer Specialist | 1747 B East Broad Street, Hazleton, PA 18201 | 2018-12-13 |
| 1366956781 | Olivia Dworak | Pharmacist | Route 93 Laurel Mall, Hazleton, PA 18201 | 2017-11-21 |
| 1598283194 | Emily Heller | Massage Therapist | 780 N. Church St., Hazleton, PA 18201 | 2017-09-03 |
| 1053715425 | Md Enterprises LLC | In Home Supportive Care | 261 S Church St, Hazleton, PA 18201 | 2014-10-14 |
| 1154605772 | Michael A. Washinsky, Do | Family Medicine | 1730 E Borad Street, Suite1, Hazleton, PA 18201 | 2011-09-30 |
| 1205158185 | Sally Anne Malkin Gilbert | Pharmacist | Laurel Mall Route 93, Hazleton, PA 18201 | 2010-02-19 |
| 1790017176 | Michael John Portonova | Chiropractor | 943 North Church Street, Hazleton, PA 18201 | 2010-02-09 |
| 1598964330 | Anthony John Stachurski Jr. | Occupational Therapy Assistant | 1000 W. 27th St., Hazleton, PA 18201 | 2007-07-12 |
| 1801017819 | Stephen C Celani | Dentist | 21 East Broad St, Hazelton, PA 18201 | 2007-05-01 |
| Find all providers in zip 18201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578589354 | Stephen M Wolk | Internal Medicine | 50 Moisey Drive Suite 103, Hazleton, PA 18202 | 2006-07-14 |
| 1730147067 | Thomas J Ciotola | Internal Medicine | 141 N Vine St, Hazleton, PA 18201 | 2006-05-03 |
| 1093717803 | Myung Sun Yoon | Internal Medicine | 238 W Chestnut St, Hazleton, PA 18201 | 2005-08-11 |
| 1295909299 | Health Care Management Group Inc. | Internal Medicine | 238 W Chestnut St, Hazleton, PA 18201-6265 | 2008-04-22 |
| 1558400010 | Yaqoob Mohyuddin | Internal Medicine | 50 Moisey Drive, Suite 109, Hazleton, PA 18202 | 2007-02-05 |
| 1710909825 | Stephen M Wolk Md PC | Internal Medicine | 943 N Church St, Hazleton, PA 18201-1839 | 2006-07-25 |
| 1467491217 | Cardiology Associates of Greater Hazleton PC | Internal Medicine | 141 N Vine St, Hazleton, PA 18201 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507445 | St. Clair Medical Services, Inc. | Internal Medicine | 363 Vanadium Rd Ste 300, Pittsburgh, PA 15243-1477 | 2020-08-07 |
| 1336772490 | Gslpg Inc | Internal Medicine | 1165 Centre Tpke, Orwigsburg, PA 17961-9343 | 2020-02-18 |
| 1215560503 | Alliance Cardiology PC | Internal Medicine | 21 Yost Blvd Ste 216, Pittsburgh, PA 15221-5283 | 2020-02-15 |
| 1366007478 | Certified Cardiology of Roxborough PC | Internal Medicine | 640 Anthony Rd, Elkins Park, PA 19027-1702 | 2019-05-03 |
| 1023576436 | Mark J. Geller, Md, LLC | Internal Medicine | 121 Freeport Rd Ste 200, Blawnox, PA 15238-3411 | 2019-03-05 |
| 1215437173 | Walter Herman | Internal Medicine | 275 N Latches Ln, Merion Station, PA 19066-1726 | 2018-02-17 |
| 1780198754 | William Sigmund | Internal Medicine | 608 Spruce St, Philadelphia, PA 19106-4114 | 2017-11-28 |
| 1982128690 | Mercy Management of Sepa | Internal Medicine | 501 S 54th St Ste 186, Philadelphia, PA 19143-1900 | 2017-08-03 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1831637263 | Your Travel Health LLC | Internal Medicine | 847 Youngs Ford Rd, Gladwyne, PA 19035-1610 | 2017-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.