# KADHIRESAN MURUGAPPAN S C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245438480
- **Authorized official:** DR. KADHIRESAN MURUGAPPAN M.D. (OWNER)
- **Authorized official phone:** (618) 643-4361

## Contact information

- **Practice address:** 611 S MARSHALL AVE, MC LEANSBORO, IL 62859-1213
- **Practice address phone:** (618) 643-2361
- **Practice address fax:** (618) 643-2502
- **Mailing address:** 124 E MARKET ST, MC LEANSBORO, IL 62859-1317
- **Mailing address phone:** (618) 643-4361
- **Mailing address fax:** (618) 643-2162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 042617997 | IL | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 02/02/2016