Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Revathi Muthuraman, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033951983

Revathi Muthuraman, MD is a Student in an Organized Health Care Education/Training Program in Johnson City, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

507 Main St
Johnson City, NY 13790-1810
Phone: (607) 763-6075
Fax: (607) 763-5234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1033951983
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address33-57 Harrison St, Johnson City, NY 13790-2174

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