Provider Demographics
NPI:1740294313
Name:DHARAN, MURALI (MD)
Entity type:Individual
Prefix:DR
First Name:MURALI
Middle Name:
Last Name:DHARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VISVANATHAN
Other - Middle Name:
Other - Last Name:MURALIDHARAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:263 FARMINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-8082
Mailing Address - Country:US
Mailing Address - Phone:860-679-3238
Mailing Address - Fax:860-679-0161
Practice Address - Street 1:263 FARMINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030
Practice Address - Country:US
Practice Address - Phone:860-679-3238
Practice Address - Fax:860-679-0161
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT044072207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine