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Organization

N CHANDRAMOHAN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANJAPPA CHANDRAMOHAN MD (OWNER)
(352) 315-1550
Entity
Organization

Contact information

Practice address
32845 RADIO ROAD, STE 102, LEESBURG, FL 34788
(352) 315-1550
(352) 315-1557
Mailing address
PO BOX 1316, EUTIS, FL 32727-1316
(352) 315-1550
(352) 315-1557

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME84234
FL

Other

Enumeration date
07/05/2006
Last updated
01/29/2008
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