Moorthi, Kmlst
Moorthi, Kmlst is an individual health care provider with primary practice located at 90 W 86Th Ave Nephrology Associates Of Northern Indiana, Merrillville IN 46410-7086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Moorthi, Kmlst can be contacted via phone (219) 791-1555.Contact Information
Primary practice address
90 W 86Th Ave Nephrology Associates Of Northern Indiana
Merrillville IN 46410-7086
Phone: (219) 791-1555
Fax: (219) 791-0679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036106618 | Illinois |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01063457A | Indiana |
Profile Details
| NPI number | 1861494049 |
|---|---|
| LBN Legal business name | Moorthi, Kmlst |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Dec 12th, 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 | 1861494049 | NPPES |
| Indiana | MEDICAID | 200876750 |
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