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 / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A90873 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 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 May 28th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396778189 NPPES
California MEDICAID 00A908730

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