Kadhiresan Murugappan S C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042617997 Issued in IL

Legal business name

KADHIRESAN MURUGAPPAN S C

Practice address

611 S Marshall Ave
MC Leansboro, IL 62859-1213

Phone

(618) 643-2361

Fax

(618) 643-2502

NPI assigned

Jul 10, 2007

Last updated

Feb 2, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kadhiresan Murugappan, M.D.NPI 1588659320

Title

Owner

Phone

(618) 643-4361

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kadhiresan Murugappan, MD SC

  • Internal Medicine Physician
  • McLeansboro, IL
  • NPI 1588659320
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1245438480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E MARKET ST",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591317",
            "telephone_number": "618-643-4361",
            "fax_number": "618-643-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "city": "MC LEANSBORO",
            "state": "IL",
            "postal_code": "628591213",
            "telephone_number": "618-643-2361",
            "fax_number": "618-643-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADHIRESAN MURUGAPPAN S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MURUGAPPAN",
        "authorized_official_first_name": "KADHIRESAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-643-4361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042617997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JJR Enterprises Inc (Meadowbrook Estates)
• Angela Marie Johnson, M.S.
• Heather Johnson
• Joyce Bechtel Counseling
• Joyner Therapy Services
• Emily Knight
• Vickie Lindstrom, RN
• Nikki Diane Lynch, COTA
• Marion Eye Centers LTD.
• Martha J Inman (Discount Medical Warehouse)

• Internal Medicine Physician in McLeansboro, IL
• Providers in McLeansboro, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.