Suresh Krishnamoorthy Md Sc in Centralia - Geriatric Medicine
Suresh Krishnamoorthy Md Sc - NPI 1912101163
Suresh Krishnamoorthy Md Sc is a Geriatric Medicine in Centralia, Illinois. Suresh Krishnamoorthy Md Sc practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Suresh Krishnamoorthy Md Sc is 1912101163. The last update date is 2020-08-22.
Suresh Krishnamoorthy Md Sc's current location address is 1054 M L King Dr, Centralia, Illinois. You can contact this provider via phone number 6185335500 and fax number 6185335501. The mailing address for Suresh Krishnamoorthy Md Sc is 1054 M L King Dr, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Suresh Krishnamoorthy Md Sc |
|---|---|
| Address | 1054 M L King Dr, Centralia, Illinois |
| Phone Number | 6185335500 |
| Fax Number | 6185335501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Krishnamoorthy Suresh |
| Credentials | MD |
| Telephone Number | 6185335500 |
NPI Number Detail
| NPI Number | 1912101163 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1054 M L King Dr |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628013000 |
| Phone Number | 6185335500 |
| Fax Number | 6185335501 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
|
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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What is the unique 10-digit identifier code assigned to Suresh Krishnamoorthy Md Sc by the Centers for Medicare & Medicaid Services?
The Suresh Krishnamoorthy Md Sc has been issued the NPI (National Provider Identifier) 1912101163 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Suresh Krishnamoorthy Md Sc located?
The Suresh Krishnamoorthy Md Sc is located at 1054 M L King Dr, Centralia, IL 628013000.
What is the Suresh Krishnamoorthy Md Sc's specialty and taxonomy code?
The Suresh Krishnamoorthy Md Sc's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.
When did the Suresh Krishnamoorthy Md Sc receive its 1912101163?
The Suresh Krishnamoorthy Md Sc was issued its 1912101163 on 2007-06-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Suresh Krishnamoorthy Md Sc most recently updated?
The details pertaining to the Suresh Krishnamoorthy Md Sc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.