DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1467420760

NPI Code Detail

MEDICARE: DR. MURUGAVEL M MUTHUSAMY M.D.

MEDICARE: DR. MURUGAVEL M MUTHUSAMY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	23416-875	WI
2	207RH0003X	Hematology & Oncology Physician	36148444	IL
3	207RH0003X	Hematology & Oncology Physician	01040972A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5171410005	OTHER	IN	DMERC
2	5171410004	OTHER		DMERC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	5171410003	OTHER		DMERC

General Provider Information

NPI Number	:	1467420760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURUGAVEL M MUTHUSAMY M.D.

Provider Business Mailing Address
First Line	:	4101 TECHNOLOGY AVE
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-8548
Country	:	US
Telephone Number	:	812-941-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	11050 PARKVIEW CIRCLE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1739
Country	:	US
Telephone Number	:	833-724-8326
Fax Number	:	260-425-6845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	01/02/2024

Similar Medicare Providers

1710116603 — JENNIFER P BROW MD
Practice Location Address:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1739

Practice Phone: 833-724-8326
Practice Fax: 260-266-7615

1760481766 — JEFFREY P LETZER DO
Practice Location Address:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1739

Practice Phone: 833-744-8326
Practice Fax: 260-425-6845

1366443129 — ALAN M YAHANDA MD
Practice Location Address:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1739

Practice Phone: 833-274-8326
Practice Fax: 260-266-7935

1821034307 — DR. SYED A ATHER M.D.
Practice Location Address:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1739

Practice Phone: 833-724-8326
Practice Fax: 260-266-7585

1053335349 — DR. PATRICIA L CLARK MD
Practice Location Address:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1739

Practice Phone: 833-724-8326
Practice Fax: 260-425-6845

1902994999 — MRS. MEREDITH LEIGH LETZER PA-C
Practice Location Address:

11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN
46845-1739

Practice Phone: 833-724-8326
Practice Fax: 260-425-6845

Directions to “ DR. MURUGAVEL M MUTHUSAMY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.