| Organization Name: | KRISHNAMOORTHI M. D. INC., A PROFESSIONAL MEDICAL CORPORATION |
| NPI Number: | 1285785154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SOMA KRISHNAMOORTHI (CFO) |
| Mailing Address: | 850 California St Escalon |
| State: | CA US |
| Postal Code: | 953201506 |
| Phone Number: | 2098382278 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 11/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |