Provider Demographics
NPI:1316900509
Name:MURTHI, ANAND M (MD)
Entity type:Individual
Prefix:DR
First Name:ANAND
Middle Name:M
Last Name:MURTHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 64134
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4134
Mailing Address - Country:US
Mailing Address - Phone:410-448-6332
Mailing Address - Fax:410-448-6296
Practice Address - Street 1:2200 KERNAN DR
Practice Address - Street 2:SUITE 1154
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-6665
Practice Address - Country:US
Practice Address - Phone:410-448-6332
Practice Address - Fax:410-448-6296
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057927207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD683503100Medicaid
MD200041735Medicare PIN
DCG02649U06Medicare PIN
MDH43800Medicare UPIN
MD683503100Medicaid