Individual
KANAGASABAI MUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13561 S TIERRA BONITA BLVD, YUMA, AZ 85365-4661
(928) 502-0319
Mailing address
13561 S TIERRA BONITA BLVD, YUMA, AZ 85365-4661
(928) 502-0319
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36287
AZ
207L00000X
Anesthesiology Physician
Primary
MD420467
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019152950004
—
PA
Enumeration date
02/24/2006
Last updated
04/09/2026
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