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Dr. Ponnaiah C. Mohan, MD
Nephrology Physician in Arlington, Texas
NPI 1487646295

Ponnaiah C. Mohan is a Nephrology Physician based in Shannon, TX and is specialized in Nephrology. Ponnaiah C. Mohan practices in Arlington, TX and has the professional credentials of MD. The NPI Number for Ponnaiah C. Mohan is 1487646295 and holds a License No. M1245 (Texas).

The current practice location address for Ponnaiah C. Mohan is 3125 Matlock Rd Ste 107, Arlington, TX and can be reached out via phone at 817-899-8109 and via fax at 888-878-5157.

Location: 3125 Matlock Rd Ste 107, Arlington, TX, 35142-0092
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487646295
Provider Name
Ponnaiah C. Mohan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3125 Matlock Rd Ste 107, Arlington, TX, 35142-0092
Phone Number
817-899-8109
Fax Number
888-878-5157
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8226BO 01 TX BLUE CROSS
173763701 05 TX
P00262936 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
3125 Matlock Rd Ste 107
City
Arlington
State
Texas
Zip
76015-2905
Phone Number
817-899-8109
Fax Number
888-878-5157
person
Provider Business Mailing Address Details
Address
3125 Matlock Rd Ste 107
City
Arlington
State
Texas
Zip
76015-2905
Phone Number
817-899-8109
Fax Number
888-878-5157
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
M1245 (Texas)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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