Individual
MUTHUKUMAR VELLAICHAMY
Active
Individual
MUTHUKUMAR VELLAICHAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
04-31957
KS
2080P0203X
Pediatric Critical Care Medicine Physician
31074
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105668
BCBS OF KANSAS
KS
05
—
200385860M
—
KS
01
—
KA2129034
MEDICARE PTAN
KS
Enumeration date
07/08/2006
Last updated
03/16/2018
Update your record
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