Individual
HARISH KRISHNAMOORTHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 HARRY HINES BLVD, GRADUATE MEDICAL EDUCATION, DALLAS, TX 75235-7708
(214) 590-8058
Mailing address
1800 MEDICAL CENTER PKWY, STE 400, MURFREESBORO, TN 37129-3181
(615) 867-1940
(615) 867-1941
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
63766
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2014
Last updated
08/13/2021
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