Mruthyamjaya Ivaturi, MD in Connersville, IN - Radiology

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.

Contact Information

	Mruthyamjaya Ivaturi, MD
	1941 Virginia Ave, Connersville, IN 47331-2833
	(765) 827-7703
	Not Available

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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Mruthyamjaya Ivaturi, MD - Radiology in Connersville, IN