Prakash Chand M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

097256

Legal business name

PRAKASH CHAND M.D. INC

Practice address

125 East Broad Street
Suite#122
Elyria, OH 44035-6429

Phone

(440) 329-7350

NPI assigned

Dec 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Nisha Roy

Title

Office Manager

Phone

(440) 897-4463

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Somnath Dandapat Roy, M.D.,

  • Internal Medicine Physician
  • Elyria, OH
  • NPI 1356321368
  NPD (past)

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1639415649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BROAD ST",
            "address_2": "SUITE#122",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356400",
            "telephone_number": "440-329-7350",
            "fax_number": "440-329-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST BROAD STREET",
            "address_2": "SUITE#122",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356429",
            "telephone_number": "440-329-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH CHAND M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-897-4463",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "097256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055719",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omobola Aderonke Popoola, FNP
• Ieisha Poss
• Elizabeth Potts
• Ava Pottschmidt, PA-C
• Brynn Powers
• G. Scott Pratt, DDS
• Melissa Pratt
• Premier Care of Ohio, Inc.
• Premier Care of Ohio, LLC
• Premium Surgery Center LLC

• Internal Medicine Physician in Elyria, OH
• Providers in Elyria, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.