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MURUGANANTHAN PUDUNAGAR SUBBIAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
180 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 527-7000
(336) 526-6056
Mailing address
180 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 527-7000
(336) 526-6056

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200401337
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1337J
BCBS OF NC
NC
01
2513533
UNITED HEALTHCARE
NC
01
5634780
FIRST HEALTH
NC
01
7942627
AETNA
NC
05
891377J
NC
01
9201803
CIGNA
NC
01
D8290
MEDCOST
NC
Enumeration date
02/06/2006
Last updated
05/16/2022
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