Dr. Kathryn Koheli Mandal
M.D. | Pediatrics | Female
Dr. Kathryn Koheli Mandal, M.D. is a Fort Worth, Texas based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Kathryn Koheli Mandal is also known as
Kathryn Koheli.
Current practice location of Dr. Kathryn Koheli Mandal is
9509 North Beach Street, Suite 102, Fort Worth, Texas - 76244-6399. She can be contacted on phone at
817-617-8650 and fax number 877-906-1852.
Dr. Kathryn Koheli Mandal is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kathryn Koheli Mandal is
1134294796 which was assigned by NPPES on 21 Nov, 2006 and it was last updated on 01 Sep, 2016.
Dr. Kathryn Koheli Mandal license number is
M5344 for Pediatrics (208000000X) in Texas.
Dr. Kathryn Koheli Mandal is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Kathryn Koheli Mandal basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Kathryn Koheli Mandal |
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| Other Name : | Kathryn Koheli |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kathryn Koheli Mandal address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9509 North Beach Street, Suite 102
Fort Worth, TX, 76244-6399
United States |
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| Phone Number : | 817-617-8650 |
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| Fax Number : | 877-906-1852 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134294796 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Nov, 2006 |
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| Last Updated On : | 01 Sep, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kathryn Koheli Mandal are as mentioned. Primary taxonomy code for Dr. Kathryn Koheli Mandal, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M5344 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kathryn Koheli Mandal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 165592001 | MEDICAID | TX | |
| 0046KV | Other | | BCBS GROUP |
| 17100066598 | Other | | KELLER GROUP NPI |
| 8K6668 | Other | TX | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9509 North Beach Street, Suite 102
Fort Worth, TX, 76244-6399
United States |
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| Phone Number : | 817-617-8650 |
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| Fax Number : | 877-906-1852 |
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Business Location:
Patients can refer following map for directions to
Dr. Kathryn Koheli Mandal practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.