Individual
VIJAY KUMAR KRISHNAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Mailing address
140 CANAL VIEW BLVD, SUITE 102, ROCHESTER, NY 14623-2808
(585) 338-2700
(585) 242-9663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
271517
NY
207RI0011X
Interventional Cardiology Physician
271517
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271517
MEDICAL LICENSE
NY
05
—
390422900
—
MN
01
—
P00054111
MEDICARE RAILROAD
MN
Enumeration date
12/07/2005
Last updated
07/06/2023
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