Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 12805 | NH |
N | 111NI0900X | Internist | 12805 | NH |
N | 207R00000X | Internist | 35-091569 | OH |
N | 111NI0900X | Internist | 35-091569 | OH |
Y | 207RG0100X | Gastroenterologist | 35-091569 | OH |
NPI | 1043367105 |
---|---|
Provider Name | Newton Packiaraj Muthunayagam |
First Address | Middleburg Heights, OH 44130-3304 |
Second Address | Middleburg Heights, OH 44130-3304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 20/04/2020 |