Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 036056073 | IL |
Y | 208600000X | Surgeon | 036056073 | IL |
N | 2082S0105X | Plastic Hand Surgeon | 036056073 | IL |
N | 2086S0105X | Surgery of the Hand | 036056073 | IL |
N | 2086S0122X | Plastic and Reconstructive Surgery | 036056073 | IL |
NPI | 1366448128 |
---|---|
Provider Name | Dr. Ramasamy Kalimuthu |
First Address | Oak Lawn, IL 60453-2452 |
Second Address | Oak Lawn, IL 60453-2452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 05/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036056073 | (05) | IL |
C45799 | (02) | IL |