Individual
SUSHEEL NARAIN THEKKIAM MURALIDHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0001
(814) 452-5772
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5853
(814) 452-5583
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD455884
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
11/05/2012
Last updated
10/06/2020
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