Individual
DR. PALANIAPPAN MUTHAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 449-7603
Mailing address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 449-7603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD166969
OR
207RC0000X
Cardiovascular Disease Physician
MD166969
OR
207RI0011X
Interventional Cardiology Physician
Primary
35127819
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164773
—
OH
01
—
T1629
JOHNS HOPKINS PROVIDER ID
MD
Enumeration date
01/23/2007
Last updated
05/23/2016
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