Muthiah, Muthusamy

Muthiah, Muthusamy is an individual health care provider with primary practice located at 1866 N Orange Grove Ave Suite 202, Pomona CA 91767-3031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Muthiah, Muthusamy can be contacted via phone (909) 623-8796.

Contact Information

Primary practice address
1866 N Orange Grove Ave Suite 202 Pomona CA 91767-3031
Phone: (909) 623-8796
Fax: (909) 623-3076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A51517 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A51517 California

Profile Details

NPI number 1679541148
LBN Legal business name Muthiah, Muthusamy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 3rd, 2021 - about 5 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 1679541148 NPPES
California MEDICAID 00A515170

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