Dr Kathryn Koheli Mandal, MD - Pediatrics in Fort Worth, TX

Dr Kathryn Koheli Mandal, MD is a Pediatrics physician based in Fort Worth, Texas. Dr Kathryn Koheli Mandal is licensed to practice in Texas (license number M5344) and her current practice location is 9509 North Beach Street, Suite 102, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at (817) 617-8650.

NPI number for Dr Kathryn Koheli Mandal is 1134294796 and her current mailing address is 9509 North Beach Street, Suite 102, Fort Worth, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134294796.

Contact Information

Dr Kathryn Koheli Mandal, MD
9509 North Beach Street, Suite 102,
Fort Worth, TX 76244-6399
(817) 617-8650
(877) 906-1852

Map and Direction




Physician's Profile

Full NameDr Kathryn Koheli Mandal
GenderFemale
SpecialityPediatrics
Location9509 North Beach Street, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134294796
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 09/01/2016

Medical Identifiers

Medical identifiers for Dr Kathryn Koheli Mandal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134294796NPI-NPPES
0046KVOtherBCBS GROUP
8K6668OtherTXBCBS
165592001MedicaidTX
17100066598OtherKELLER GROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M5344 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Koheli Mandal is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathryn Koheli Mandal, MD
9509 North Beach Street, Suite 102,
Fort Worth, TX 76244-6399

Ph: (817) 617-8650
Dr Kathryn Koheli Mandal, MD
9509 North Beach Street, Suite 102,
Fort Worth, TX 76244-6399

Ph: (817) 617-8650

Reviews and Comments


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