Provider Demographics
NPI:1548609852
Name:MURUGANANDAM, MAHESWARI (MBBS)
Entity Type:Individual
Prefix:
First Name:MAHESWARI
Middle Name:
Last Name:MURUGANANDAM
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 LOMAS BLVD NE # 5ACC
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2719
Mailing Address - Country:US
Mailing Address - Phone:505-272-3840
Mailing Address - Fax:505-272-4006
Practice Address - Street 1:2211 LOMAS BLVD NE # 5ACC
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2719
Practice Address - Country:US
Practice Address - Phone:505-272-3840
Practice Address - Fax:505-272-4006
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2023-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256091207R00000X
NM390200000X
NMMD2019-0277207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program