Provider Demographics
NPI:1912097791
Name:MURTHY, ANANDHI (MD)
Entity type:Individual
Prefix:DR
First Name:ANANDHI
Middle Name:
Last Name:MURTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 JENNA WAY DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5600
Mailing Address - Country:US
Mailing Address - Phone:304-242-8826
Mailing Address - Fax:
Practice Address - Street 1:943 E MARKET ST
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:OH
Practice Address - Zip Code:43907-9783
Practice Address - Country:US
Practice Address - Phone:740-942-6322
Practice Address - Fax:740-942-3985
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068524208600000X
WV16743208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000157356OtherBLUE CROSS
OH0852715Medicaid
OH000000157356OtherBLUE CROSS
OHC56751Medicare ID - Type Unspecified