Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Chandler Vimal Mohan, MD

Individual provider Gynecology Physician · NPI 1629239561

Dr. Chandler Vimal Mohan, MD is an Obstetrics/Gynecology in Lake City, Florida. Qualified in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
26
Licensed in
FL, VA
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4812 W US Highway 90
Lake City, FL 32055-5126
Phone: (386) 466-1106
Fax: (386) 466-1821
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 0101243179 (VA)
General Practice Physician Taxonomy 208D00000X · Licence 0101243179 (VA)
Gynecology Physician Taxonomy 207VG0400X · Licence ME101708 (FL)
Obstetrics Physician Taxonomy 207VX0000X · Licence ME101708 (FL)

Record details

NPI number1629239561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2008
Last updated in NPPESNovember 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesGENERAL PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount