Individual
DR. MUTHIAH SUKUMARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BROADWAY, SECOND FLOOR, NEW YORK, NY 10006-1901
(212) 263-9700
(212) 263-9701
Mailing address
111 BROADWAY, SECOND FLOOR, NEW YORK, NY 10006-1901
(212) 263-9700
(212) 263-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
130230
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
130230
NY
207RP1001X
Pulmonary Disease Physician
Primary
130230
NY
Other
Enumeration date
01/26/2007
Last updated
04/06/2010
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