Kirupaharan, Mythely

Kirupaharan, Mythely is an individual health care provider with primary practice located at 99 Beauvoir Ave , Summit NJ 07901-3533. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Kirupaharan, Mythely can be contacted via phone (908) 522-6414.

Contact Information

Primary practice address
99 Beauvoir Ave Summit NJ 07901-3533
Phone: (908) 522-6414
Fax: (908) 522-0804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08960000 New Jersey
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25MA08960000 New Jersey

Profile Details

NPI number 1891891909
LBN Legal business name Kirupaharan, Mythely
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 7th, 2023 - about 2 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 1891891909 NPPES
New York Other 0414076 IHA
New York Other 248279 IHA
New York Other 000528882001 IHA
New York MEDICAID 02826488 IHA

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