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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

VIJAI B MUTHUKRISHNAN, MD
25 COLLINS RD
BRISTOL, CT06010-3893
 Phone: 860-253-7236
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for VIJAI B MUTHUKRISHNAN · (Male)

NPI # 1003016270
Status Active
Credentials MD
Entity Individual
Enumeration date 07/24/2007
Last updated 04/20/2011 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 049730
Hospital affiliation(s)
  • BRISTOL HOSPITAL - (Acute Care)
    BREWSTER RD
    BRISTOL, CT 06010
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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