Mouanoutoua, Mouatou
Mouanoutoua, Mouatou is an individual health care provider with primary practice located at 2335 E Kashian Ln Ste 240 , Fresno CA 93701-2211. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mouanoutoua, Mouatou can be contacted via phone (559) 320-0545.Contact Information
Primary practice address
2335 E Kashian Ln Ste 240
Fresno CA 93701-2211
Phone: (559) 320-0545
Fax: (559) 320-0550
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A90873 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A90873 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A90873 | California |
Profile Details
| NPI number | 1396778189 |
|---|---|
| LBN Legal business name | Mouanoutoua, Mouatou |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Dec 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396778189 | NPPES |
| California | MEDICAID | 00A908730 |
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