Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SURESH KRISHNAMOORTHY, M.D.
ActiveDR. SURESH KRISHNAMOORTHY, M.D. is a Gastroenterology healthcare provider located in CENTRALIA, Illinois. NPI 1760440580 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · CENTRALIA, IL
Registration Details
- NPI Number
- 1760440580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2006 (20.315654436663 yrs)
- Last Updated
- Jun 30, 2016
- License
-
036091773 (IL)
Practice Information
- Address
-
1054 M L KING DRSUITE 126CENTRALIA, IL, 628013000Browse IL providers · Browse ZIP 62801
- Phone
- 6185335500
- Fax
- 6185335501
- Primary Specialty
-
Gastroenterology
207RG0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.