Individual
DR. PALANIVEL G MOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 NILLES RD, STE G, FAIRFIELD, OH 45014-2636
(513) 858-6555
(513) 858-6222
Mailing address
PO BOX 643273, CINCINNATI, OH 45264-0307
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-042652
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408973
—
OH
01
—
P00062550
RR MEDICARE
OH
Enumeration date
07/21/2006
Last updated
12/11/2008
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