Provider Demographics
NPI:1346333614
Name:DAKSHINAMURTHI, ARUMUGHAM (MD)
Entity Type:Individual
Prefix:
First Name:ARUMUGHAM
Middle Name:
Last Name:DAKSHINAMURTHI
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 1:2212 MIFFLIN AVE STE 235
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-8846
Mailing Address - Country:US
Mailing Address - Phone:419-281-3077
Mailing Address - Fax:419-281-2905
Practice Address - Street 1:2212 MIFFLIN AVE STE 235
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8846
Practice Address - Country:US
Practice Address - Phone:419-281-3077
Practice Address - Fax:419-281-2905
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-037724208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0253274Medicaid
OH0253274Medicaid
H32175Medicare UPIN