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Krishnamoorthi M.d. Inc.
Primary Care Clinic/Center in Modesto, California
NPI 1528119435

Krishnamoorthi M.d. Inc. is a Primary Care Clinic/Center based in Modesto, CA and is specialized in Primary Care. Krishnamoorthi M.d. Inc. practices in Modesto, CA. The NPI Number for Krishnamoorthi M.d. Inc. is 1528119435 and holds a License No. (California).

The current practice location address for Krishnamoorthi M.d. Inc. is 2222 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-622-0877 and via fax at 209-622-0956.

Location: 2222 E Orangeburg Ave, Modesto, CA, 95355-3399
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528119435
Provider Name
Krishnamoorthi M.d. Inc.
Credential
Provider Entity Type
Organization
Address
2222 E Orangeburg Ave, Modesto, CA, 95355-3399
Phone Number
209-622-0877
Fax Number
209-622-0956
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0104660 05 CA
PA20513 01 CA CO676Z
institution
Provider Business Practice Location Address Details
Address
2222 E Orangeburg Ave
City
Modesto
State
California
Zip
95355-3399
Phone Number
209-622-0877
Fax Number
209-622-0956
person
Provider Business Mailing Address Details
Address
2222 E Orangeburg Ave
City
Modesto
State
California
Zip
95355-3399
Phone Number
209-622-0877
Fax Number
209-622-0956
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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