Krishnamoorthy, Vijay Kumar

Krishnamoorthy, Vijay Kumar is an individual health care provider with primary practice located at 140 Canal View Blvd Suite 102, Rochester NY 14623-2808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Krishnamoorthy, Vijay Kumar can be contacted via phone (585) 338-2700.

Contact Information

Primary practice address
140 Canal View Blvd Suite 102 Rochester NY 14623-2808
Phone: (585) 338-2700
Fax: (585) 242-9663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 271517 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 271517 New York

Profile Details

NPI number 1013992601
LBN Legal business name Krishnamoorthy, Vijay Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 6th, 2023 - about last year

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 1013992601 NPPES
Minnesota MEDICAID 390422900
Minnesota Other 271517
Minnesota Other P00054111

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