Prakash Chand M.d. Inc | |
125 East Broad Street Suite#122 Elyria OH 44035-6429 | |
(440) 329-7350 | |
Not Available |
Full Name | Prakash Chand M.d. Inc |
---|---|
Speciality | Internal Medicine |
Location | 125 East Broad Street, Elyria, Ohio |
Authorized Official Name and Position | Nisha Roy (OFFICE MANAGER) |
Authorized Official Contact | 4408974463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prakash Chand M.d. Inc 125 E Broad St Suite#122 Elyria OH 44035-6400 Ph: (440) 329-7350 | Prakash Chand M.d. Inc 125 East Broad Street Suite#122 Elyria OH 44035-6429 Ph: (440) 329-7350 |
NPI Number | 1639415649 |
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Provider Enumeration Date | 12/19/2012 |
Last Update Date | 12/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639415649 | NPI | - | NPPES |
0055719 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 097256 (* (Not Available)) | Primary |
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