Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 305990 | NY |
NPI | 1154776771 |
---|---|
Provider Name | Dr. Raj Dharma Murthy |
First Address | New York, NY 10128-0776 |
Second Address | New York, NY 10128-0776 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2016 |
Last Update Date | 04/08/2021 |