NPIMap

Organization Active NPI

Chander M. Kohli M.D., Inc.

  • Specialist
  • Youngstown, OH
National Provider Identifier
1285637918
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-03-4176 K Issued in OH
Legal business name
CHANDER M. KOHLI M.D., INC.
Practice address
540 Parmalee Ave
Ste 310
Youngstown, OH 44510-1605
Phone
(330) 747-1420
Fax
(330) 747-1151
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chander M Kohli, M.D.
Title
President
Phone
(330) 747-1420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-03-4176 K OH Primary

Addresses

Primary practice location

540 Parmalee Ave
Ste 310
Youngstown, OH 44510-1605

Mailing address

540 Parmalee Ave
Ste 310
Youngstown, OH 44510-1605
Phone (330) 747-1420

Other identifiers 1

IdentifierTypeStateIssuer
0589359MedicaidOH

National Provider Directory

National Provider Directory

Locations

540 Parmalee Ave
Ste 310
Youngstown, OH 44510
Phone (330) 747-1420

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1285637918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "STE 310",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-747-1420",
            "fax_number": "330-747-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "STE 310",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101605",
            "telephone_number": "330-747-1420",
            "fax_number": "330-747-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDER M. KOHLI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "CHANDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-747-1420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-03-4176 K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0589359",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.