KAVITHA MUTHUSAMY

FORT WAYNE, IN
NPI1508249988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01081930A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  125066642)
Enumeration Date2015-07-03
Last Update Date2022-10-12
Business Address
KAVITHA MUTHUSAMY
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Phone number: 260-672-6620
Mailing Address
KAVITHA MUTHUSAMY
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: