NPI age
19 years
Enumerated 2006-11-21
● Active
Type 1 · Individual
DR. Kathryn Koheli Mandal, M.D.
Mandal is 1 of 188 pediatrics providers in Fort Worth and 1 of 7055 in Texas.
Primary specialty
Pediatrics
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7055 active pediatrics providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
9509 North Beach Street, Suite 102
Fort Worth, TX 762446399
Mailing address
9509 North Beach Street, Suite 102
Fort Worth, TX 762446399
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 0046KV | BCBS GROUP |
| 01 (TX) | 8K6668 | BCBS |
| 05 (TX) | 165592001 | |
| 01 | 17100066598 | KELLER GROUP NPI |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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