Healthcare Provider Details

I. General information

NPI: 1174180723
Provider Name (Legal Business Name): ARUN MUTHIAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26900 CEDAR RD
BEACHWOOD OH
44122-1191
US

IV. Provider business mailing address

26900 CEDAR RD
BEACHWOOD OH
44122-1191
US

V. Phone/Fax

Practice location:
  • Phone: 216-839-2990
  • Fax: 216-839-2975
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35.144801
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: