Individual
DR. CHANDRA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 S GEORGE ST, STE W-2, YORK, PA 17403-4594
(717) 741-2222
(717) 741-2266
Mailing address
2200 S GEORGE ST, STE W-2, YORK, PA 17403-4594
(717) 741-2222
(717) 741-2266
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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