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Individual
DR. KRISHNAKUMAR R MUTHU
Active
Individual
DR. KRISHNAKUMAR R MUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N6517
TX
208M00000X
Hospitalist Physician
7091
SD
208M00000X
Hospitalist Physician
N6517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140756906
—
IA
05
—
46022474331
—
NE
01
—
4992481
SD BLUE CROSS
SD
05
—
6005700
—
SD
05
—
6005702
—
SD
01
—
7091
DAKOTACARE
SD
01
—
P00450058
RR MEDICARE
SD
Enumeration date
07/23/2007
Last updated
06/09/2023
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