Healthcare Provider Details

I. General information

NPI: 1841115920
Provider Name (Legal Business Name): MARUTHI NEURO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 MING AVE STE 485
BAKERSFIELD CA
93309-9119
US

IV. Provider business mailing address

5500 MING AVE STE 485
BAKERSFIELD CA
93309-9119
US

V. Phone/Fax

Practice location:
  • Phone: 319-383-1834
  • Fax:
Mailing address:
  • Phone: 319-383-1834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SULAGSHAN MAHENDRARAJAH
Title or Position: OWNER
Credential:
Phone: 319-383-1834