Individual
THANASEELAN MUTHULINGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 CINCINNATI ST, DELHI, LA 71232-3007
(318) 878-5171
(318) 878-6446
Mailing address
407 CINCINNATI ST, DELHI, LA 71232-3007
(318) 878-5171
(318) 878-6446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
321097
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2015
Last updated
10/07/2019
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