Provider Demographics
NPI:1174060008
Name:N B MURTHI MD PC
Entity type:Organization
Organization Name:N B MURTHI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAGAPRASAD
Authorized Official - Middle Name:B
Authorized Official - Last Name:MURTHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-396-7173
Mailing Address - Street 1:122 LUAKAHA CIR
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8286
Mailing Address - Country:US
Mailing Address - Phone:808-633-7662
Mailing Address - Fax:248-671-5004
Practice Address - Street 1:122 LUAKAHA CIR
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8286
Practice Address - Country:US
Practice Address - Phone:808-633-7662
Practice Address - Fax:248-671-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-176392084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIUPIN A78446Medicare UPIN