Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 34878 | AL |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME131966 | FL |
NPI | 1407148950 |
---|---|
Provider Name | Dr. Namita Murthy |
First Address | Rockledge, FL 32955-4306 |
Second Address | Melbourne, FL 32901-2607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2011 |
Last Update Date | 31/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100617300 | (05) | FL |
JL879 | MEDICARE (01) | FL |