Individual
AVINASH M.A. MURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
619 E MASON ST STE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036.135341
IL
207RI0011X
Interventional Cardiology Physician
Primary
036.135341
IL
207RI0011X
Interventional Cardiology Physician
308508
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036135341
—
IL
05
—
2469002
—
LA
Enumeration date
06/11/2008
Last updated
12/21/2021
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