Reddy, Muralidharan Thiruvenkadam

Reddy, Muralidharan Thiruvenkadam is an individual health care provider with primary practice located at 125 Parker Hill Ave , Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Reddy, Muralidharan Thiruvenkadam can be contacted via phone (617) 754-5800.

Contact Information

Primary practice address
125 Parker Hill Ave Roxbury Crossing MA 02120-2847
Phone: (617) 754-5800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 219925 Massachusetts

Profile Details

NPI number 1679553960
LBN Legal business name Reddy, Muralidharan Thiruvenkadam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jun 26th, 2009 - about 15 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 1679553960 NPPES
Massachusetts MEDICAID 2069105
Massachusetts MEDICAID 30208572
Massachusetts Other 01Y013442NH01

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