NPI 1801084843
Chandra S Mohanty, CPBOCOFAAOP
Practice location
- Address
- 400 Shadow Ln STE 110, Las Vegas, NV 89106-4355
- Phone
- (702) 800-6520
- Fax
- (702) 800-6492
- Mailing address
- 1043 Elm Ave STE 202, Long Beach, CA 90813-3244
Registered specialties
Prosthetist
Primary
Registry record
- NPI
- 1801084843
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Oct 2007
- Record last updated
- 9 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.