Individual
DR. RATHINAM KRISHNA MOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E ROBERTSON ST, BRANDON, FL 33594-5253
(813) 689-0331
(813) 653-1752
Mailing address
301 E ROBERTSON ST, BRANDON, FL 33594-5253
(813) 689-0331
(813) 653-1752
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0040574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067882100
—
FL
Enumeration date
09/29/2006
Last updated
07/26/2012
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