Individual
VENKATACHALAM MUTHIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ELIZABETH PL, SUITE 190, DAYTON, OH 45408-1445
(937) 222-3118
(937) 222-1436
Mailing address
7073 CLYO ROAD, CENTERVILLE, OH 45459
(937) 435-5857
(937) 912-4960
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35334
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004921
ANTHEM
OH
05
—
0543826
—
OH
01
—
310821503028
CARE SOURCE
—
01
—
3108215037C18
UNITED MINE WORKERS
—
01
—
3120003
UHC
OH
01
—
390003611
MEDICARE RAILROAD
—
01
—
647579
ATENA
—
01
—
D35334
HUMANA
—
Enumeration date
11/23/2005
Last updated
04/28/2010
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