Chandra S Mohanty, CP,BOCO,FAAOP

NPI #1801084843 in Las Vegas, Nevada

Provider Information

NPI Number
1801084843
Entity Type
Individual
Name
Chandra S Mohanty, CP,BOCO,FAAOP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Credential
CP,BOCO,FAAOP
Enumeration Date
Oct 3, 2007
Last Updated
Mar 9, 2022

Practice Location

Address
400 SHADOW LN STE 110
State
Nevada
ZIP Code
89106-4355
Phone
(702) 800-6520

Specialties & Taxonomy Codes

Specialty
Prosthetist

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