Provider Demographics
NPI:1609155811
Name:MURTHAIAH, PRADEEP KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:PRADEEP
Middle Name:KUMAR
Last Name:MURTHAIAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:321 E NORTHFIELD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-2415
Mailing Address - Country:US
Mailing Address - Phone:317-852-6065
Mailing Address - Fax:317-852-2468
Practice Address - Street 1:711 E 38TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-2748
Practice Address - Country:US
Practice Address - Phone:463-249-2314
Practice Address - Fax:317-245-2388
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2023-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01073487A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine