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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962465666 NPPES
Maryland MEDICAID 404857100

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