Individual
PHILOMINA OOMMEN THURUTHUMALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
(812) 385-9231
(812) 385-9303
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01064335A
IN
207L00000X
Anesthesiology Physician
E4570
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01064335A
STATE LICENSE
IN
05
—
200911900
—
IN
Enumeration date
10/02/2006
Last updated
04/20/2011
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