Provider Demographics
NPI:1538185731
Name:MURTHY MEDICAL PLLC
Entity type:Organization
Organization Name:MURTHY MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SATYANARAYANA
Authorized Official - Middle Name:MURTHY
Authorized Official - Last Name:NARASIMHADEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-471-7417
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-0310
Mailing Address - Country:US
Mailing Address - Phone:845-471-7417
Mailing Address - Fax:845-471-7906
Practice Address - Street 1:301 MANCHESTER RD
Practice Address - Street 2:SUITE # 104
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2586
Practice Address - Country:US
Practice Address - Phone:845-471-7417
Practice Address - Fax:845-471-7906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219234207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH06843Medicare UPIN