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Individual

MOHANKUMAR DORAISWAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(615) 315-1290
Mailing address
5710 117TH ST, LUBBOCK, TX 79424-7794
(615) 315-1290

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
E-15087
AR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/23/2016
Last updated
06/06/2022
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