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NPI Code Detail

MEDICARE: CHANDER M. KOHLI M.D., INC.

MEDICARE: CHANDER M. KOHLI M.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist35-03-4176 KOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285637918
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANDER M. KOHLI M.D., INC.
Provider Business Mailing Address
First Line : 540 PARMALEE AVE
Second Line : STE 310
City : YOUNGSTOWN
State : OH
Zip : 44510-1605
Country : US
Telephone Number : 330-747-1420
Fax Number : 330-747-1151
Provider Business Practice Location Address
First Line : 540 PARMALEE AVE
Second Line : STE 310
City : YOUNGSTOWN
State : OH
Zip : 44510-1605
Country : US
Telephone Number : 330-747-1420
Fax Number : 330-747-1151
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHANDER M KOHLI
Credential : M.D.
Telephone Number : 330-747-1420
Provider Enumeration Date : 05/27/2005
Last Update Date : 02/05/2008

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Directions to “CHANDER M. KOHLI M.D., INC. ” Practice Location

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