Kayal Kanni Dhevi Chandramohan, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1004347 Issued in TX

Practice address

500 W 4TH St
Odessa, TX 79761-5001

Phone

(432) 640-1143

Fax

(432) 640-1693

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kayal Chandramohan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1376164673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 OPORTO ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797654405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W 4TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615001",
            "telephone_number": "432-640-1143",
            "fax_number": "432-640-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAMOHAN",
        "first_name": "KAYAL KANNI DHEVI",
        "name_prefix": "Ms.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "1004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYAL",
            "last_name": "CHANDRAMOHAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kris Challapalli, MD
• Karthik Chamarti
• Albert Craig Chamberlain, MD, MHA/MBA
• Ka Pui Eliza Chan
• Jamie L Chance, MS
• Prathmica Chandramohan, DO
• Timothy Ru Chao, MD
• Charlotte Elaine Chapman, MS.CCC.SLP
• Keely Chapman, MD
• Chappell Rosso Dermatology PA

• Registered Dietitian in Odessa, TX
• Providers in Odessa, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.