Provider Demographics
NPI:1184663023
Name:ARUMUGAM, THANGAMUTHU (MD)
Entity Type:Individual
Prefix:DR
First Name:THANGAMUTHU
Middle Name:
Last Name:ARUMUGAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17227 HIGHLAND AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2800
Mailing Address - Country:US
Mailing Address - Phone:718-558-9070
Mailing Address - Fax:718-558-9878
Practice Address - Street 1:17227 HIGHLAND AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2800
Practice Address - Country:US
Practice Address - Phone:718-558-9070
Practice Address - Fax:718-558-9878
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188326208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF96790Medicare UPIN
NY67H781Medicare ID - Type Unspecified