Provider Demographics
NPI:1154284446
Name:MURTHY, VISHAKANTHA (PHD,MBA,CCRP,NRCC)
Entity type:Individual
Prefix:DR
First Name:VISHAKANTHA
Middle Name:
Last Name:MURTHY
Suffix:
Gender:M
Credentials:PHD,MBA,CCRP,NRCC
Other - Prefix:DR
Other - First Name:VISHU
Other - Middle Name:
Other - Last Name:MURTHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD,MBA,CCRP,NRCC
Mailing Address - Street 1:5476 FLORENCE DR NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-4835
Mailing Address - Country:US
Mailing Address - Phone:919-265-9986
Mailing Address - Fax:
Practice Address - Street 1:5476 FLORENCE DR NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-4835
Practice Address - Country:US
Practice Address - Phone:919-265-9986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-04
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNNRCC4915291U00000X, 207ZP0104X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0104XAllopathic & Osteopathic PhysiciansPathologyChemical Pathology
No291U00000XLaboratoriesClinical Medical Laboratory