Individual
DR. KMLST MOORTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01063457A
IN
207RN0300X
Nephrology Physician
036106618
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200876750
—
IN
Enumeration date
06/01/2005
Last updated
11/18/2024
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