Individual
DR. CHETAN S MOORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7770
Mailing address
7100 WESTWIND DR, STE 130, EL PASO, TX 79912-1757
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J2965
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129515606
—
TX
Enumeration date
08/18/2005
Last updated
02/03/2017
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