Provider Demographics
NPI:1659860302
Name:JOTHI MURALI MD INC
Entity Type:Organization
Organization Name:JOTHI MURALI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:MURALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-464-3484
Mailing Address - Street 1:429 LLEWELLYN AVE
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1948
Mailing Address - Country:US
Mailing Address - Phone:408-364-1673
Mailing Address - Fax:408-364-1635
Practice Address - Street 1:429 LLEWELLYN AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1948
Practice Address - Country:US
Practice Address - Phone:408-364-1673
Practice Address - Fax:408-364-1635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty