Individual
DR. KALPATHY S KRISHNAMOORTHY
Active
Individual
DR. KALPATHY S KRISHNAMOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36248
MA
2084N0400X
Neurology Physician
Primary
36248
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033135
—
MA
01
—
700053
TUFTS HEALTH PLAN
MA
01
—
M08904
BCBS MA
MA
Enumeration date
03/03/2006
Last updated
03/07/2013
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