Kuppusami, Muthusami

Kuppusami, Muthusami is an individual health care provider with primary practice located at 109 Windsor Cir , Bluefield VA 24605-9324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kuppusami, Muthusami can be contacted via phone (276) 326-3356.

Contact Information

Primary practice address
109 Windsor Cir Bluefield VA 24605-9324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 09769 West Virginia

Profile Details

NPI number 1861456162
LBN Legal business name Kuppusami, Muthusami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1861456162 NPPES
West Virginia MEDICAID 0124083000

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