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1508248600

NPI Code Detail

MEDICARE: MAITREYI MURTHY M.D.

MEDICARE: MAITREYI MURTHY 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	2084N0400X	Neurology Physician	R75072	AZ
2	2084N0400X	Neurology Physician	D87584	MD
3	2084N0400X	Neurology Physician	MD222542	OR
4	2084N0400X	Neurology Physician	MD61107905	WA
5	2084N0400X	Neurology Physician	2024043160	MO
6	2084N0400X	Neurology Physician	V3514	TX
7	2084N0400X	Neurology Physician	ME170421	FL

General Provider Information

NPI Number	:	1508248600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAITREYI MURTHY M.D.

Provider Business Mailing Address
First Line	:	11215 METRO PKWY STE 1
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-1206
Country	:	US
Telephone Number	:	239-208-2212
Fax Number	:

Provider Business Practice Location Address
First Line	:	11215 METRO PKWY STE 1
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33966-1206
Country	:	US
Telephone Number	:	239-208-2212
Fax Number	:

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

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	12/08/2025

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Directions to “ MAITREYI MURTHY 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.

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