Basic Information
Provider Information
NPI: 1952569063
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARTHASARATHY
FirstName: MURALIKRISHNAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2579 OLD QUARRY RD
Address2: APT # 2316
City: SAN DIEGO
State: CA
PostalCode: 921082786
CountryCode: US
TelephoneNumber: 6199556332
FaxNumber:  
Practice Location
Address1: 2120 THIBODO RD
Address2: STE# 230
City: VISTA
State: CA
PostalCode: 920817901
CountryCode: US
TelephoneNumber: 8582791223
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/26/2008
LastUpdateDate: 01/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA105423CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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