Moorthi, Kmlst

Moorthi, Kmlst is an individual health care provider with primary practice located at 90 W 86Th Ave Nephrology Associates Of Northern Indiana, Merrillville IN 46410-7086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Moorthi, Kmlst can be contacted via phone (219) 791-1555.

Contact Information

Primary practice address
90 W 86Th Ave Nephrology Associates Of Northern Indiana Merrillville IN 46410-7086
Phone: (219) 791-1555
Fax: (219) 791-0679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036106618 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 01063457A Indiana

Profile Details

NPI number 1861494049
LBN Legal business name Moorthi, Kmlst
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861494049 NPPES
Indiana MEDICAID 200876750

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