Mruthyamjaya Ivaturi, MD is a 
Radiology - Diagnostic Radiology physician based in Connersville, Indiana. Mruthyamjaya Ivaturi is licensed to practice in Indiana (license number 01035094A) and his current practice location is 1941 Virginia Ave, Connersville, Indiana. He can be reached at his office (for appointments etc.) via phone at 
(765) 827-7703.
NPI number for Mruthyamjaya Ivaturi is 1649319112 and his current mailing address is Po Box 1524, Indianapolis, Indiana. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649319112.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Mruthyamjaya Ivaturi | 
|---|
| Gender | Male | 
|---|
| Speciality | Radiology - Diagnostic Radiology | 
|---|
| Location | 1941 Virginia Ave, Connersville, Indiana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1649319112
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 09/25/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Mruthyamjaya Ivaturi such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1649319112 | NPI | - | NPPES | 
| 010021203 | Other |  | RAILROAD MEDICARE | 
| 100114890A | Medicaid | IN |  | 
| 1370988 | Other |  | UNITED MINE WORKERS | 
| 000000079486 | Other | IN | ANTHEM | 
| 311255083 | Other |  | CHAMPUS | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 2085R0202X | Radiology - Diagnostic Radiology | 01035094A (Indiana) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mruthyamjaya Ivaturi is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Mruthyamjaya Ivaturi, MD Po Box 1524,
 Indianapolis, IN 46206-1524
 Ph: () -
 | Mruthyamjaya Ivaturi, MD 1941 Virginia Ave,
 Connersville, IN 47331-2833
 Ph: (765) 827-7703
 | 
		
		 
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