Muthusamy, Murugavel M
Muthusamy, Murugavel M is an individual health care provider with primary practice located at 11050 Parkview Circle Dr , Fort Wayne IN 46845-1739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Muthusamy, Murugavel M can be contacted via phone (833) 724-8326.Contact Information
Primary practice address
11050 Parkview Circle Dr
Fort Wayne IN 46845-1739
Phone: (833) 724-8326
Fax: (260) 425-6845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 23416-875 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 36148444 | Illinois |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 01040972A | Indiana |
Profile Details
| NPI number | 1467420760 |
|---|---|
| LBN Legal business name | Muthusamy, Murugavel M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jan 2nd, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467420760 | NPPES |
| Indiana | Other | 5171410005 | DMERC |
| Indiana | Other | 5171410004 | DMERC |
| Indiana | MEDICAID | 100219024 | DMERC |
| Indiana | MEDICAID | 100361800 | DMERC |
| Indiana | Other | 5171410003 | DMERC |
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