Dr Kalpathy S Krishnamoorthy, MD | |
55 Fruit St, Yaw 6, Pediatric Neurology, Boston, MA 02114 | |
(617) 726-3877 | |
(617) 724-7860 |
Full Name | Dr Kalpathy S Krishnamoorthy |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 55 Fruit St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760459176 | NPI | - | NPPES |
700053 | Other | MA | TUFTS HEALTH PLAN |
2033135 | Medicaid | MA | |
M08904 | Other | MA | BCBS MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 36248 (Massachusetts) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 36248 (Minnesota) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
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Dr Kalpathy S Krishnamoorthy, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 726-3877 | Dr Kalpathy S Krishnamoorthy, MD 55 Fruit St, Yaw 6, Pediatric Neurology, Boston, MA 02114 Ph: (617) 726-3877 |
Dr. Lee Edwin Goldstein, M.D., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 670 Albany St, Boston, MA 02118 Phone: 617-414-8361 Fax: 617-414-7073 | |
Dr. Joseph Yeretsian, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 361 Newbury St Fl 5, Boston, MA 02115 Phone: 617-865-4910 Fax: 617-507-1426 | |
Dr. Michael Gulliver Erkkinen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-5500 | |
Dr. Joseph Jeffrey Taylor, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 60 Fenwood Rd, Boston, MA 02115 Phone: 617-732-5500 | |
Sanjay Menon, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 Phone: 857-238-5600 | |
Fatemeh Mohammadpour Touserkani, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Lara Basovic, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 15 Parkman St Fl 8, Boston, MA 02114 Phone: 617-726-3311 Fax: 617-726-9250 |