MEDICARE: DR. DHANPAT CHANDRA MOHNOT 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
1	2084N0400X	Neurology Physician	05061R	LA

Other Identifiers

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

General Provider Information

NPI Number	:	1780689364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DHANPAT CHANDRA MOHNOT MD

Provider Business Mailing Address
First Line	:	120 MEADOWCREST ST
Second Line	:	STE 420
City	:	GRETNA
State	:	LA
Zip	:	70056-5250
Country	:	US
Telephone Number	:	504-391-7547
Fax Number	:	504-391-7549

Provider Business Practice Location Address
First Line	:	120 MEADOWCREST ST
Second Line	:	STE 420
City	:	GRETNA
State	:	LA
Zip	:	70056-5250
Country	:	US
Telephone Number	:	504-391-7547
Fax Number	:	504-391-7549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	03/13/2008

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