Individual
DR. MUTHUKUMAR VAIDYARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,FIPP, MBA
Contact information
Practice address
12040 DARBY AVE, PORTER RANCH, CA 91326-1112
(818) 217-4730
Mailing address
12040 DARBY AVE, PORTER RANCH, CA 91326-1112
(818) 217-4730
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME90212
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
A89024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270695400
—
FL
01
—
ME90212
MD
FL
Enumeration date
08/31/2006
Last updated
01/07/2011
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