Individual
DR. KRISHNAMOORTHY VIVEKANANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13325 HARGRAVE RD STE 100, HOUSTON, TX 77070-4540
(281) 469-8007
Mailing address
13325 HARGRAVE RD, SUITE 100, HOUSTON, TX 77070-4539
(281) 469-8007
(281) 469-8042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L7240
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203280701
—
TX
01
—
H20735
UPIN
—
Enumeration date
07/06/2005
Last updated
02/23/2017
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