Individual
SUHAS D MANTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3321 UNICORN LAKE BLVD STE 121, DENTON, TX 76210-0107
(940) 387-6248
(940) 381-1881
Mailing address
3321 UNICORN LAKE BLVD STE 121, DENTON, TX 76210-0107
(940) 387-6248
(940) 381-1881
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
F5288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042778302
—
TX
05
—
042778303
—
TX
05
—
042778304
—
TX
Enumeration date
10/17/2006
Last updated
02/21/2011
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