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 |
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Address | 3500 S Lafountain St, Kokomo, Indiana |
Phone Number | 7657763020 |
Fax Number | 7654538111 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1114183449 |
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Provider Enumeration Date | 2008-08-06 |
Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
Address | 3500 S Lafountain St |
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City | Kokomo |
State | Indiana (IN) |
Post Code | 469023803 |
Phone Number | 7657763020 |
Fax Number | 7654538111 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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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 | -- |
Post Comment/ Review Below
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.