Healthcare Provider Details

I. General information

NPI: 1750919650
Provider Name (Legal Business Name): ANUPAMA MURTHY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 04/11/2026
Certification Date: 04/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 WAYNE AVE APT 23H
BRONX NY
10467-2512
US

IV. Provider business mailing address

3450 WAYNE AVE APT 23H
BRONX NY
10467-2512
US

V. Phone/Fax

Practice location:
  • Phone: 949-892-7525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number343041
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: