Krishnamoorthy, Mahesh
Krishnamoorthy, Mahesh is an individual health care provider with primary practice located at 11110 Medical Campus Rd Suite 150, Hagerstown MD 21742-6700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Krishnamoorthy, Mahesh can be contacted via phone (301) 665-4825.Contact Information
Primary practice address
11110 Medical Campus Rd Suite 150
Hagerstown MD 21742-6700
Phone: (301) 665-4825
Fax: (301) 665-4826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0061411 | Maryland |
Profile Details
| NPI number | 1962465666 |
|---|---|
| LBN Legal business name | Krishnamoorthy, Mahesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Oct 17th, 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 | 1962465666 | NPPES |
| Maryland | MEDICAID | 404857100 |
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