Provider Demographics
NPI:1619091212
Name:NAGUL, MURUGASU (MD)
Entity Type:Individual
Prefix:DR
First Name:MURUGASU
Middle Name:
Last Name:NAGUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MURUGASU
Other - Middle Name:
Other - Last Name:NAGULESPARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1010 EAST MCDOWELL ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-256-6682
Mailing Address - Fax:602-256-6506
Practice Address - Street 1:1010 EAST MCDOWELL ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-256-6682
Practice Address - Fax:602-256-6506
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19864207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ50332Medicaid
D00025Medicare UPIN