Provider Demographics
NPI:1578597498
Name:ARUMUGANATHAN, THANIGASALAM (MDFRCOG,FACOG)
Entity Type:Individual
Prefix:DR
First Name:THANIGASALAM
Middle Name:
Last Name:ARUMUGANATHAN
Suffix:
Gender:M
Credentials:MDFRCOG,FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:RANSON
Mailing Address - State:WV
Mailing Address - Zip Code:25438-1647
Mailing Address - Country:US
Mailing Address - Phone:304-725-0705
Mailing Address - Fax:304-728-3050
Practice Address - Street 1:127 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:RANSON
Practice Address - State:WV
Practice Address - Zip Code:25438-1647
Practice Address - Country:US
Practice Address - Phone:304-725-0705
Practice Address - Fax:304-728-3050
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV17176174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist