Moorthi, David S
Moorthi, David S is an individual health care provider with primary practice located at 739 Irving Ave Ste 600 , Syracuse NY 13210-1663. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Moorthi, David S can be contacted via phone (315) 218-5303.Contact Information
Primary practice address
739 Irving Ave Ste 600
Syracuse NY 13210-1663
Phone: (315) 218-5303
Fax: (315) 471-0411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 214078 | New York |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 214078 | New York |
Profile Details
NPI number | 1770586653 |
---|---|
LBN Legal business name | Moorthi, David S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Mar 23rd, 2022 - about 2 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 | 1770586653 | NPPES |
Other | 2140788B | TRICARE | |
Other | RC60214078 | TRICARE | |
Other | 200995527 | TRICARE | |
Other | 00026146103 | TRICARE | |
Other | P010214078 | TRICARE | |
Other | P020214078 | TRICARE | |
Other | 200995527 | TRICARE | |
Other | 786892 | TRICARE | |
Other | 8799848 | TRICARE | |
Other | 110836AH | TRICARE | |
Other | 200995527 | TRICARE | |
Other | 608856700 | TRICARE | |
Other | RC60214078 | TRICARE | |
Other | 200995527 | TRICARE | |
Other | 7001141 | TRICARE |
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