Provider Demographics
NPI:1922074061
Name:MURTHY, HARISH HK (MD)
Entity Type:Individual
Prefix:
First Name:HARISH
Middle Name:HK
Last Name:MURTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 637
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95031-0637
Mailing Address - Country:US
Mailing Address - Phone:408-356-8400
Mailing Address - Fax:408-356-0974
Practice Address - Street 1:2520 SAMARITAN DR STE 210
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4106
Practice Address - Country:US
Practice Address - Phone:408-356-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA544310207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A544310Medicaid
CA00A544311Medicare PIN
CA00A544310Medicare ID - Type Unspecified
CA00A544310Medicaid