Individual
DR. GEORGE S MUTHALAKUZHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5344 9TH ST STE 107, ZEPHYRHILLS, FL 33542-4348
(813) 724-3868
(813) 724-3992
Mailing address
PO BOX 2619, ZEPHYRHILLS, FL 33539-2619
(813) 724-3868
(813) 724-3992
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 104902
FL
207RN0300X
Nephrology Physician
Primary
ME104902
FL
208M00000X
Hospitalist Physician
ME104902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001356600
—
FL
01
—
P01004046
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
10/03/2006
Last updated
12/17/2024
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