Healthcare Provider Details

I. General information

NPI: 1316576606
Provider Name (Legal Business Name): MOHIT SINGH KOCHAR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S. FRONT STREET BRADY 3 SUITE 3A
HARRISBURG PA
17104-1710
US

IV. Provider business mailing address

205 SOUTH FRONT STREET BRADY 3 SUITE 3A
HARRISBURG PA
17104
US

V. Phone/Fax

Practice location:
  • Phone: 717-231-8722
  • Fax:
Mailing address:
  • Phone: 717-231-8722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOT020337
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberOT020337
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A20934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: