Basic Information
Provider Information
NPI: 1811243124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OHRI
FirstName: CHAAND
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.B.B.S
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3610 MONTE CARLO PL
Address2:  
City: DISTRICT HEIGHTS
State: MD
PostalCode: 207473825
CountryCode: US
TelephoneNumber: 3136700766
FaxNumber:  
Practice Location
Address1: 765 KENILWORTH TER NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200191898
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/24/2012
LastUpdateDate: 02/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD043464DCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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