Individual
JAYALAKSHMI MURUGAIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1753 W RIDGEWAY AVE, SUITE 102, WATERLOO, IA 50701-4544
(319) 833-5888
(319) 833-5891
Mailing address
1753 W RIDGEWAY AVE, SUITE 102, WATERLOO, IA 50701-4544
(319) 833-5888
(319) 833-5891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33699
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171192
RR MEDICARE
IA
05
—
1173427
—
IA
05
—
1215915483
—
IA
Enumeration date
01/06/2006
Last updated
05/17/2012
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