Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | A25176 | CA |
NPI | 1043391220 |
---|---|
Provider Name | Kolar N Murthy |
First Address | Thousand Oaks, CA 91360-1904 |
Second Address | Thousand Oaks, CA 91360-1904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A251760 | (05) | CA |
A86856 | (02) |