Muthiah, Annamalai

Muthiah, Annamalai is an individual health care provider with primary practice located at 110 Kingsley Ln 305, Norfolk VA 23505-4614. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Muthiah, Annamalai can be contacted via phone (757) 889-5422.

Contact Information

Primary practice address
110 Kingsley Ln 305 Norfolk VA 23505-4614
Phone: (757) 889-5422
Fax: (757) 889-5450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101222615 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0062747 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101222615 Virginia

Profile Details

NPI number 1063407997
LBN Legal business name Muthiah, Annamalai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Sep 6th, 2022 - about 4 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 1063407997 NPPES
Maryland MEDICAID 407194800
Maryland MEDICAID 1063407997

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