Individual
MALA KOKILA KRISHNAMOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(774) 232-1549
Mailing address
2500 MERCED ST, SAN LEANDRO, CA 94577-4201
(510) 914-7874
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
140784
CA
Other
Enumeration date
04/19/2014
Last updated
02/11/2022
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