Individual
DR. MULLAI MUTHUSWAMI
Active
Individual
DR. MULLAI MUTHUSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301045392
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104499907
—
MI
01
—
MM045392
BCBS
MI
Enumeration date
12/22/2006
Last updated
02/14/2012
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