DR. MOHANAKRISHNAN SATHYAMOORTHY


Address: 1121 5th Ave Ste 100, Fort Worth, TX 76104-4386
Phone: 8174238585

DR. MOHANAKRISHNAN SATHYAMOORTHY (NPI# 1134233588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134233588
Entity Type Individual
Full Name DR. MOHANAKRISHNAN SATHYAMOORTHY
Other Name DR. MOHAN SATHYAMOORTHY
Credential M.D.
Practice Address 1121 5th Ave Ste 100
Fort Worth
TX 76104-4386
Mailing Address P.o. Box 961205
Fort Worth
TX 76161-1205
Practice Telephone 8174238585
Practice Fax Number 8174238458
Mailing Telephone 8174238585
Mailing Fax Number 8174238458
Enumeration Date 2006-08-19
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
N2777 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 201204904 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1400 8th Ave, Fort Worth, TX 761044110 8179276224 8179276226

Office Location

Street Address 1121 5TH AVE STE 100
City FORT WORTH
State TX
Zip Code 76104-4386

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538729421 Amy Elizabeth Blancke Nurse Practitioner 1121 5th Ave Ste 100, Fort Worth, TX 76104-4386 2019-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
Find all providers in zip 76104

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083195648 Ff Corporation Pllc Internal Medicine 7100 Oakmont Blvd Ste No201, Fort Worth, TX 76132-3900 2018-08-22
1376918292 Makd Heart & Vascular LLC Internal Medicine 1401 8th Avenue, Fort Worth, TX 76104-3915 2015-12-03
1528436565 Davinci Medical, LLC Internal Medicine 6809 Sawgrass Dr, Fort Worth, TX 76132-7103 2015-09-08
1831485192 Fahmi Jasmin Farah Internal Medicine 7100 Oakmont Blvd Ste 201, Fort Worth, TX 76132-3908 2011-06-24
1659664100 Pro Health Diagnostics of North Texas Pa Internal Medicine 1904 Canterbury Drive, Fort Worth, TX 76107-3514 2011-05-17
1396936357 Farhan Ali Internal Medicine 1017 12th Avenue, Fort Worth, TX 76104-0000 2007-08-06
1619021714 Benedict Anthony Termini Internal Medicine 8520 Meadowbrook Dr, Fort Worth, TX 76120-5204 2007-01-23
1932294469 Saritha Dodla Internal Medicine 4324 Heritage Trace Pkwy, Ste 808, Fort Worth, TX 76244-9127 2006-10-03
1316039795 Muhammad A Qureshi Internal Medicine 3403 N Beach St, Fort Worth, TX 76111-6305 2006-09-29
1720039480 Syed Nayyar Shah Internal Medicine 1900 Mistletoe Blvd Ste 100, Fort Worth, TX 76104-4048 2006-05-15
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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