KRISHNAMOORTHI KRISHNAMOORTHI


Address: 324 F St, Waterford, CA 95386-9013
Phone: 2098742321

KRISHNAMOORTHI KRISHNAMOORTHI (NPI# 1588762538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588762538
Entity Type Individual
Full Name KRISHNAMOORTHI KRISHNAMOORTHI
Other Name K. KRISHNAMOORTHI
Credential M.D.
Practice Address 324 F St
Waterford
CA 95386-9013
Mailing Address 2222 E Orangeburg Ave
Suite A2
Modesto
CA 95355-3399
Practice Telephone 2098742321
Practice Fax Number 2098743896
Mailing Telephone 2096220877
Mailing Fax Number 2098743896
Enumeration Date 2006-09-20
Last Update Date 2011-12-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A70897 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0104460 05
CA RHM53829H 05

Office Location

Street Address 324 F ST
City WATERFORD
State CA
Zip Code 95386-9013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417329640 Agatha John Family Medicine 324 F St, Waterford, CA 95386-9013 2015-10-27
1316098205 Krishnamoorthi Md Inc. Clinic/Center 324 F St, Waterford, CA 95386-9013 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366857658 Diana Hollingshead-parker Registered Nurse 421 Tim Bell Rd, Waterford, CA 95386 2014-06-25
1497817407 James Yamamoto Dentist 12142 Yosemite Blvd, Waterford, CA 95386 2006-12-15
1588664684 Don Michael Endress General Practice 12700 Welch St, Waterford, CA 95386-8765 2005-07-29
1649527664 Eric Gust Benson Registered Nurse 12700 Welch St, Waterford, CA 95386-8765 2012-08-08
1326106501 Don Michael Endress M.d. General Practice 12700 Welch St, Waterford, CA 95386-8765 2006-12-04
1356686992 Kimberlie Ann Payne Occupational Therapy Assistant 13209 Fountain Dr, Waterford, CA 95386-8858 2012-12-08
1518423631 Gill Pharmacy Inc Pharmacy 12648 Bentley St, Waterford, CA 95386-9009 2019-02-13
1639709520 Ravi Gandhi Pharmacy 12648 Bentley St, Waterford, CA 95386-9009 2020-01-20
1528433588 Livingston Community Health Clinic/Center 12619 Bentley St, Waterford, CA 95386-9011 2015-12-02
1336176122 Maximilian A. Schanderl Pharmacist 12641 Bentley St, Waterford, CA 95386-9011 2006-06-27
Find all providers in zip 95386

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124548938 Medpal Health Clinic PC Internal Medicine 6743 Highland Rd Ste 5, Waterford, MI 48327-1654 2017-06-22
1033594106 Atchoo Medical Practice Pllc Internal Medicine 4515 Highland Rd, Waterford, MI 48328-1172 2015-07-29
1528487246 Stephanie Coleman Internal Medicine 5210 Highland Rd Ste 201, Waterford, MI 48327-1970 2014-04-09
1659717932 Waterford Urgent Care PC Internal Medicine 5800 Highland Rd, Waterford, MI 48327-1827 2013-05-14
1295099372 Candi Mcculloch Internal Medicine 38 Shawandassee Rd, Waterford, CT 06385-1419 2012-07-03
1194085076 Meghana Rao Brito Internal Medicine 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 2012-05-24
1316072531 Paunel Grivej Md PC Internal Medicine 2801 Elizabeth Lake Road, Waterford, MI 48328 2007-02-21
1841363009 Amita N Nair Internal Medicine 158 Saratoga Ave., Waterford Health Center, Waterford, NY 12188 2006-11-16
1265520191 Benjamin R Newton Internal Medicine 230 Waterford Parkway South, Suite 201, Waterford, CT 06385 2006-10-10
1396858148 Zahid Nazir Internal Medicine 46 3rd St, Waterford, NY 12188-2437 2006-08-16
Find all providers in WATERFORD

Competitor

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City WATERFORD
Zip Code 95386

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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