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Individual
MRUTHYUNJAYA GONCHIGAR
Active
Individual
MRUTHYUNJAYA GONCHIGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D0050726
MD
208VP0000X
Pain Medicine Physician
Primary
D0050726
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697L395D
PAIN MANAGEMENT
MD
01
—
P00875961
MEDICARE RAILROAD
MD
Enumeration date
04/19/2006
Last updated
04/05/2012
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