Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 075817 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 075817 | GA |
NPI | 1144420712 |
---|---|
Provider Name | Arun Krishnamoorthy |
First Address | Atlanta, GA 30309-1796 |
Second Address | Atlanta, GA 30309-1796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 14/04/2017 |