Individual
GURUMURTHY HIREMATH MALLIKARJUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301092195
MI
208000000X
Pediatrics Physician
Primary
A115159
CA
2080P0202X
Pediatric Cardiology Physician
58949
MN
Other
Enumeration date
08/17/2008
Last updated
06/26/2015
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