Individual
DR. MOHANAKRISHNAN SATHYAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 5TH AVE STE 100, FORT WORTH, TX 76104-4386
(817) 423-8585
(817) 423-8458
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 423-8585
(817) 423-8458
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
N2777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201204904
—
TX
Enumeration date
08/19/2006
Last updated
02/04/2020
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