Individual
NANJAPPA CHANDRAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2135 SW 19TH AVENUE RD STE 103, OCALA, FL 34471-7877
(352) 368-1360
(352) 237-7728
Mailing address
PO BOX 2556, OCALA, FL 34478-2556
(352) 274-9900
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME84234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265174200
—
FL
Enumeration date
07/07/2005
Last updated
05/18/2022
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