Krishnamoorthi M. D. Inc., A Professional Medical Corporation is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Waterford, California. The current practice location for Krishnamoorthi M. D. Inc., A Professional Medical Corporation is 324 F St, Waterford, California. For appointments, you can reach them via phone at
(209) 874-2321. The mailing address for Krishnamoorthi M. D. Inc., A Professional Medical Corporation is 324 F St, Waterford, California and phone number is (209) 874-2321.
Krishnamoorthi M. D. Inc., A Professional Medical Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1316098205. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(209) 874-2321.
Primary Care Clinic Profile
| Full Name | Krishnamoorthi M. D. Inc., A Professional Medical Corporation |
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| Speciality | Clinic/Center |
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| Location | 324 F St, Waterford, California |
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| Authorized Official Name and Position | Krishnamoorthi Krishnamoorthi (CEO) |
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| Authorized Official Contact | 2098742321 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Krishnamoorthi M. D. Inc., A Professional Medical Corporation
324 F St
Waterford
CA 95386-9013
Ph: (209) 874-2321 | Krishnamoorthi M. D. Inc., A Professional Medical Corporation
324 F St
Waterford
CA 95386-9013
Ph: (209) 874-2321 |
NPI Details:
| NPI Number | 1316098205 |
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| Provider Enumeration Date | 01/16/2007 |
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| Last Update Date | 03/22/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1153323324 |
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| Medicare Enrollment ID | O20070201000488 |
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Medical Identifiers
Medical identifiers for Krishnamoorthi M. D. Inc., A Professional Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316098205 | NPI | - | NPPES |
| 00A708970 | Medicaid | CA | |
| RHM53829H | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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