Individual
MR. KRISHNA K MOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 GLADSTONE DR, SUITE 3, PITTSBURG, CA 94565-5123
(925) 432-3318
(925) 432-0886
Mailing address
2220 GLADSTONE DR, SUITE 3, PITTSBURG, CA 94565-5123
(925) 432-3318
(925) 432-0886
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25695
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BV276X
MEDICARE PTAN
CA
Enumeration date
06/20/2006
Last updated
03/26/2013
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