Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 58202 | AZ |
N | 207RP1001X | Pulmonary Disease | 58202 | AZ |
NPI | 1073856423 |
---|---|
Provider Name | Dr. Akshay Muralidhar |
First Address | Phoenix, AZ 85012-2369 |
Second Address | Phoenix, AZ 85012-2369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 22/12/2021 |