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

TaxonomyCodeLicense
Specialist 174400000X0101031293 (VA)
Cardiovascular Disease Physician Primary 207RC0000X0101031293 (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.

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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.