1679423107 NPI number — MUNNAINATHAN MEDICAL GROUP INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679423107 NPI number — MUNNAINATHAN MEDICAL GROUP INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MUNNAINATHAN MEDICAL GROUP INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679423107
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4900 CALIFORNIA AVE
Provider Second Line Business Mailing Address:
TOWER B, 2ND FLOOR
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93309-7024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-431-3416
Provider Business Mailing Address Fax Number:
833-764-5903

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12793 LYON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75035-1585
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-431-3416
Provider Business Practice Location Address Fax Number:
833-764-5903
Provider Enumeration Date:
02/03/2026

Additional Information

Authorized Official

Authorized Official Last Name:
MUNNAINATHAN
Authorized Official First Name:
PARTHIBAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
661-431-3416

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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