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Contact Information

MURUGAVEL M MUTHUSAMY, MD
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN46845-1739
 Phone: 833-724-8326
 Fax: 260-425-6845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MURUGAVEL M MUTHUSAMY · (Male)

NPI Number 1467420760
Status Active
Credentials MD
Entity Individual
Enumeration date 03/10/2006
Last updated 01/02/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36148444
  • IN License # 01040972A
  • WI License # 23416-875
  • IN Medicaid 100361800
  • WI Medicaid 100219024
  • Other 5171410003 DMERC
  • Other 5171410004 DMERC
  • IN Other 5171410005 DMERC
Hospital affiliation(s)
  • FLOYD MEMORIAL HOSPITAL AND HEALTH SERVICES - (Acute Care)
    1850 STATE ST
    NEW ALBANY, IN 47150
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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