Individual
DR. VARATHASEELAN MUTHULINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
(618) 351-4919
Mailing address
P O BOX 1105, INDIANAPOLIS, IN 46206-1105
(618) 549-5361
(618) 549-5128
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
036122038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036122038
ILLINOIS LICENSE
IL
05
—
036122038
—
IL
01
—
165651
HEALTH ALLIANCE
IL
01
—
976183
HEALTHLINK
IL
01
—
P00757187
RAILROAD MEDICARE
IL
Enumeration date
04/09/2009
Last updated
12/02/2009
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