| Krishnamoorthi M. D. Inc., A Professional Medical Corporation | |
|
850 California St Escalon CA 95320-1506 | |
| (209) 838-2278 | |
| Not Available |
| Full Name | Krishnamoorthi M. D. Inc., A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 850 California St, Escalon, California |
| Authorized Official Name and Position | Soma Krishnamoorthi (CFO) |
| Authorized Official Contact | 2098382278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krishnamoorthi M. D. Inc., A Professional Medical Corporation 850 California St Escalon CA 95320-1506 Ph: (209) 838-2278 | Krishnamoorthi M. D. Inc., A Professional Medical Corporation 850 California St Escalon CA 95320-1506 Ph: (209) 838-2278 |
| NPI Number | 1285785154 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 03/22/2022 |
| Medicare PECOS PAC ID | 1153323324 |
|---|---|
| Medicare Enrollment ID | O20070201000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285785154 | NPI | - | NPPES |
| RHM53830H | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
B D Peterson Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2390 Jackson Ave, Escalon, CA 95320 Phone: 209-838-6015 Fax: 209-838-0750 | |
Escalon Community Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2080 Mchenry Ave # 100, Escalon, CA 95320 Phone: 209-847-3011 Fax: 209-848-4110 |