Provider Demographics
NPI:1518376151
Name:MUTHUSWAMY, KARTHIKEYAN (MD)
Entity type:Individual
Prefix:DR
First Name:KARTHIKEYAN
Middle Name:
Last Name:MUTHUSWAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KARTHIK
Other - Middle Name:
Other - Last Name:MUTHUSWAMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:39096 LBJ BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-8932
Mailing Address - Country:US
Mailing Address - Phone:478-227-8445
Mailing Address - Fax:
Practice Address - Street 1:39096 LBJ BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-8932
Practice Address - Country:US
Practice Address - Phone:782-278-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60728188207P00000X
390200000X
TXV1563207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program