Krishnamoorthy, Kalpathy S
Krishnamoorthy, Kalpathy S is an individual health care provider with primary practice located at 55 Fruit St Yaw 6, Pediatric Neurology, Boston MA 02114. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Krishnamoorthy, Kalpathy S can be contacted via phone (617) 726-3877.Contact Information
Primary practice address
55 Fruit St Yaw 6, Pediatric Neurology
Boston MA 02114
Phone: (617) 726-3877
Fax: (617) 724-7860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36248 | Massachusetts |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 36248 | Minnesota |
Profile Details
| NPI number | 1760459176 |
|---|---|
| LBN Legal business name | Krishnamoorthy, Kalpathy S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Mar 7th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760459176 | NPPES |
| Massachusetts | Other | 700053 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2033135 | TUFTS HEALTH PLAN |
| Massachusetts | Other | M08904 | TUFTS HEALTH PLAN |
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