Provider Demographics
NPI:1851650329
Name:KRISHNAMOORTHY, SUBHASH (MD)
Entity Type:Individual
Prefix:MR
First Name:SUBHASH
Middle Name:
Last Name:KRISHNAMOORTHY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:COLUMBIA UNIVERSITY DEPARTMENT OF SURGERY GENERAL
Mailing Address - Street 2:400 KELBY STREET, BOX 47
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024
Mailing Address - Country:US
Mailing Address - Phone:212-342-1734
Mailing Address - Fax:212-342-5754
Practice Address - Street 1:COLUMBIA UNIVERSITY DEPARTMENT OF SURGERY GENERAL
Practice Address - Street 2:161 FORT WASHINGTON AVENUE, 8TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-1734
Practice Address - Fax:212-342-5754
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2023-10-30
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Provider Licenses
StateLicense IDTaxonomies
NY289662208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery