Provider Demographics
NPI:1356623821
Name:MUTHUKUMAR, ALAGARRAJU (PHD)
Entity type:Individual
Prefix:
First Name:ALAGARRAJU
Middle Name:
Last Name:MUTHUKUMAR
Suffix:
Gender:M
Credentials:PHD
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD.,
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY, STE CS 3.114
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9073
Mailing Address - Country:US
Mailing Address - Phone:214-648-8444
Mailing Address - Fax:214-648-8037
Practice Address - Street 1:5323 HARRY HINES BLVD.,
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY, STE CS 3.114
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9073
Practice Address - Country:US
Practice Address - Phone:214-648-8444
Practice Address - Fax:214-648-8037
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician