Mohan Penmetcha, M.D., P.A.

LBN: Mohan Penmetcha, M.D., P.A.
Mohan Penmetcha, M.D., P.A. is an health care organization with primary practice located at 4217 Marsh Ridge Rd Ste 110 , Carrollton TX 75010-4416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as the primary health care specialty. Mohan Penmetcha, M.D., P.A. can be contacted via phone (972) 307-3456, or through Penmetcha, Mohan via phone (972) 492-8700.

Contact Information

Primary practice address
4217 Marsh Ridge Rd Ste 110 Carrollton TX 75010-4416
Phone: (972) 307-3456
Fax: (972) 307-6789
Website:
Map and Directions
Authorized official contact:
Name: Penmetcha, Mohan Doctor of Medicine (MD)
Phone: (972) 492-8700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X J9779 Texas

Profile Details

NPI number 1982653127
LBN Legal business name Mohan Penmetcha, M.D., P.A.
DBA Doing business as
Authorized official Penmetcha, Mohan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2006
Last updated Mar 26th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982653127 NPPES
Texas MEDICAID 170889301

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