Organization
PRAKASH CHAND M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NISHA ROY (OFFICE MANAGER)
(440) 897-4463
Entity
Organization
Contact information
Practice address
125 EAST BROAD STREET, SUITE#122, ELYRIA, OH 44035-6429
(440) 329-7350
Mailing address
125 E BROAD ST, SUITE#122, ELYRIA, OH 44035-6400
(440) 329-7350
(440) 329-7349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
097256
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055719
—
OH
Enumeration date
12/19/2012
Last updated
12/19/2012
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