Individual provider · Type 1 NPI

Raina M. Muthukumaru, MD

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1407485394 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-5604 Map

Mailing address

16047 Nantucket Meadows Dr
Wildwood, MO 63040-1545

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407485394

Raina M. Muthukumaru, MD's National Provider Identifier is 1407485394, issued on Apr 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on Apr 3, 2020.