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Individual
DR. CHANDRA MOHAN
Active
Individual
DR. CHANDRA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD418311
PA
207RN0300X
Nephrology Physician
Primary
MD418311
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001883905
—
PA
01
—
102733
JOHNS HOPKINS
PA
01
—
1323323
HIGHMARK BLUE SHIELD
PA
01
—
50093010
CAPITAL BLUE CROSS
PA
01
—
5436657
AETNA
PA
01
—
615734
CAREFIRST MD BCBS
MD
01
—
89416
GEISINGER
PA
Enumeration date
05/23/2005
Last updated
04/16/2013
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