| 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 |