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Individual

MURALI MAHESWARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
450 FALLS AVE STE 202, TWIN FALLS, ID 83301-2307
(208) 814-9077
(208) 814-9081
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
O-2000
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263563
LABOR & INDUSTRIES
WA
Enumeration date
12/29/2005
Last updated
01/08/2025
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