Individual
MAHESHWAR R. MUSUNURI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 GUERNSEY ST, SUITE 16, BELLAIRE, OH 43906-1540
(740) 676-4623
(740) 671-6333
Mailing address
3000 GUERNSEY ST, SUITE 16, BELLAIRE, OH 43906-1540
(740) 676-4623
(740) 671-6333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18659
WV
207R00000X
Internal Medicine Physician
Primary
35070697M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079628000
—
WV
05
—
0381368
—
OH
Enumeration date
12/22/2005
Last updated
07/08/2007
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