Individual provider · Type 1 NPI
Kochicheril N. Moni, MD
Cardiovascular Disease Physician · Live Oak, FL
NPI number
1942207485
Active · reactivated Mar 30, 2006
Practice location
1116 SW 11th Street
Live Oak, FL 32064
Fax (386) 362-0821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 0101031293 (VA) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 0101031293 (VA) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Other cardiovascular disease physician providers in Live Oak
About NPI 1942207485
Kochicheril N. Moni, MD's National Provider Identifier is 1942207485, issued on Jun 30, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Live Oak, FL. The record was last updated on Sep 8, 2011.