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Individual

VALLIKANNU MUTHIAH

Active
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Individual

VALLIKANNU MUTHIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
V4715
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
05
—
8443061
—
WA
01
—
9671MU
BLUE SHIELD
WA
01
—
US7453754
AETNA/USHC SPECIALIST
WA
Enumeration date
07/14/2006
Last updated
10/16/2025
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