Individual provider · Type 1 NPI

Shlok Srichandan Mohanty

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1679373435 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4917

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X1679373435 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679373435

Shlok Srichandan Mohanty's National Provider Identifier is 1679373435, issued on Mar 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 19, 2026.