IndividualActive
Akhilesh Shikaripur Mohan
NPI 1205453883 · General Practice Dentistry · Bryan, TX
Provider details
- NPI number
- 1205453883
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36242 (TX)
Specialties & taxonomies
Dental Providers
Practice location
3203 Freedom Blvd Ste 400
Bryan, TX 77802-5018
Phone: (979) 985-5505
Approximate (ZIP-level) locationGet directions
Mailing address
3203 Freedom Blvd Ste 400
Bryan, TX 77802-5018
Registry dates
- Enumerated
- 2020-06-30
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.