Individual
CHAITRA MOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5511
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME140942
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME140942
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2014
Last updated
07/14/2022
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