Individual
BHARATHI MUTHUSAMY
Active
Individual
BHARATHI MUTHUSAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01082116A
IN
207RH0003X
Hematology & Oncology Physician
01082116A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018777A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103093398
ANTHEM PTAN
IN
05
—
300080160
—
IN
Enumeration date
06/09/2016
Last updated
03/15/2025
Update your record
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