Active NPI
Mohan S Chandran, M.D.
- Neurology Physician
- Sandusky, OH
National Provider Identifier
1558300533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35-064442
- Practice address
- 1200 Prospect St
Suite 302
Sandusky, OH 44870-3362 - Phone
- (419) 621-9026
- Fax
- (419) 624-1260
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35-064442 | OH | Primary |
Addresses
Primary practice location
1200 Prospect St
Suite 302
Sandusky, OH 44870-3362
Mailing address
1200 Prospect St
Suite 302
Sandusky, OH 44870-3362
Phone (419) 621-9026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-064442 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Ohio Medical Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1558300533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PROSPECT ST",
"address_2": "SUITE 302",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703362",
"telephone_number": "419-621-9026",
"fax_number": "419-624-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 PROSPECT ST",
"address_2": "SUITE 302",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448703362",
"telephone_number": "419-621-9026",
"fax_number": "419-624-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRAN",
"first_name": "MOHAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35-064442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.