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NPI Code Detail

MEDICARE: MOHIT CHAWLA MD

MEDICARE: MOHIT CHAWLA MD
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianTP133KY
2207Q00000XFamily Medicine Physician77774MN
3207Q00000XFamily Medicine PhysicianTP133KY
4207QG0300XGeriatric Medicine (Family Medicine) PhysicianTP133KY

General Provider Information

NPI Number : 1720367642
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHIT CHAWLA MD
Provider Business Mailing Address
First Line : PO BOX 860912
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55486-0912
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 67 LAKEVIEW DR
Second Line :
City : PADUCAH
State : KY
Zip : 42001-5619
Country : US
Telephone Number : 270-559-9415
Fax Number : 563-547-4340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2011
Last Update Date : 03/16/2026

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