Dr Muthukumar Vaidyaraman, MD,FIPP, MBA | |
12040 Darby Ave, Porter Ranch, CA 91326-1112 | |
(818) 217-4730 | |
Not Available |
Full Name | Dr Muthukumar Vaidyaraman |
---|---|
Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 12040 Darby Ave, Porter Ranch, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003928565 | NPI | - | NPPES |
270695400 | Medicaid | FL | |
ME90212 | Other | FL | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME90212 (Florida) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | A89024 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Muthukumar Vaidyaraman, MD,FIPP, MBA 12040 Darby Ave, Porter Ranch, CA 91326-1112 Ph: (818) 217-4730 | Dr Muthukumar Vaidyaraman, MD,FIPP, MBA 12040 Darby Ave, Porter Ranch, CA 91326-1112 Ph: (818) 217-4730 |