SearchTexas207R00000X

Chandramohan Mudaliar, MD

NPI 1699749077 · on the registry since 2006 · sole proprietor

Practice

Address
122o Fifth Ave
Fort Worth, TX 76104
Phone
(817) 332-3002

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas