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
Fax: (260) 425-6845
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
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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