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SOMA KRISHNAMOORTHI M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1013011055

Individual Registrant:
 SOMA  KRISHNAMOORTHI M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
850 W CALIFORNIA STREET  ESCALON, CA 95320-1506 US
Tel: 209-838-2278  Fax: 209-525-3124

Contact information for business:
850 W CALIFORNIA STREET  ESCALON, CA 95320-1506 US
Tel: 209-838-2278  Fax: 209-525-3124

Registration Information:
NPI: 1013011055
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA76562

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RHM53830HCA05




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