Individual
DR. ANTONY LESLIE INNASIMUTHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713-2133
(302) 338-9444
(302) 338-9449
Mailing address
620 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713-2133
(302) 338-9444
(302) 338-9449
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C1-0010967
DE
207RI0011X
Interventional Cardiology Physician
C1-0010967
DE
207UN0901X
Nuclear Cardiology Physician
C1-0010967
DE
2085R0204X
Vascular & Interventional Radiology Physician
C1-0010967
DE
261QM2500X
Medical Specialty Clinic/Center
C1-0010967
DE
282N00000X
General Acute Care Hospital
C1-0010967
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104080639
—
DE
Enumeration date
07/14/2008
Last updated
02/26/2020
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