Muni K Theertham in Kokomo - Internal Medicine

Muni K Theertham - NPI 1114183449

Muni K Theertham is a Internal Medicine in Kokomo, Indiana. Muni K Theertham practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Muni K Theertham is 1114183449. The last update date is 2023-11-27.

Muni K Theertham's current location address is 3500 S Lafountain St, Kokomo, Indiana. You can contact this provider via phone number 7657763020 and fax number 7654538111. The mailing address for Muni K Theertham is 3500 S Lafountain St, Kokomo, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Muni K Theertham
Address 3500 S Lafountain St, Kokomo, Indiana
Phone Number 7657763020
Fax Number 7654538111
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114183449
Provider Enumeration Date 2008-08-06
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address 3500 S Lafountain St
City Kokomo
State Indiana (IN)
Post Code 469023803
Phone Number 7657763020
Fax Number 7654538111

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 4301091596
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
724294 IN ANTHEM
1114183449 RR PTAN
201025960 IN --

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FAQs about Muni K Theertham

What is the unique 10-digit identifier code assigned to Muni K Theertham by the Centers for Medicare & Medicaid Services?

The Muni K Theertham has been issued the NPI (National Provider Identifier) 1114183449 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Muni K Theertham's physical address?

The Muni K Theertham is physically located at 3500 S Lafountain St, in the city of Kokomo, IN, with the postal code 469023803.

What is the Muni K Theertham's specialty and taxonomy code?

The Muni K Theertham's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did Muni K Theertham receive its 1114183449 assignment from the Centers for Medicare & Medicaid Services?

The Muni K Theertham was assigned its 1114183449 on 2008-08-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Muni K Theertham's details last updated?

The information pertaining to the Muni K Theertham, including its address, specialty, and other details, was most recently updated on 2023-11-27.

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