Individual
SHANMUGAM MUKUNDAN
Active
Individual
SHANMUGAM MUKUNDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101229163
VA
207R00000X
Internal Medicine Physician
Primary
37254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010151431
—
VA
01
—
13965
ANTHEM
—
01
—
201020956
CIGNA
—
01
—
2128136
ALLIANCE
—
01
—
690545
NCPPO
—
01
—
8128136
OPTIMUM CHOICE
—
01
—
AETNA
201020956
—
01
—
G0157201
RAILROAD MEDICARE
—
01
—
K012
BLUECROSS CAREFIRST NCA
—
Enumeration date
08/12/2006
Last updated
08/31/2010
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