Basic Information
Provider Information
NPI: 1609989623
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURTHY
FirstName: VIVEK
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
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Mailing Information
Address1: 111 CYPRESS STREET
Address2: BRIGHAM & WOMENS HOSPITALIST SERVICE
City: BROOKLINE
State: MA
PostalCode: 02445
CountryCode: US
TelephoneNumber: 6175826660
FaxNumber: 6175826199
Practice Location
Address1: 75 FRANCIS STREET
Address2: BRIGHAM AND WOMENS HOSPITALIST & SERVICE
City: BOSTON
State: MA
PostalCode: 02115
CountryCode: US
TelephoneNumber: 6172780055
FaxNumber: 6172786906
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X226024MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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