DR. POOVILLAM SUBRAMANIAM-MOOTHATHU, MD, FAAN, FAHA, CIME

Psychiatry & Neurology - Neurology

Active Individual
NPI: 1013910652

Practice Address

3400 BOULEVARD
Colonial Heights, VA 23834

Phone: (804) 741-6484

Specialties

Specialty Code Primary License
Psychiatry & Neurology - Neurology 2084N0400X Yes 0101041206 (VA)

Frequently Asked Questions

NPI 1013910652 is the National Provider Identifier for DR. POOVILLAM SUBRAMANIAM-MOOTHATHU, MD, FAAN, FAHA, CIME, a Psychiatry & Neurology - Neurology provider located in Colonial Heights, VA. This NPI was enumerated on May 27, 2005.
DR. POOVILLAM SUBRAMANIAM-MOOTHATHU, MD, FAAN, FAHA, CIME practices at 3400 BOULEVARD, Colonial Heights, VA 23834.

Quick Facts

NPI
1013910652
Type
Individual
Enumerated
May 27, 2005
Last Updated
Aug 10, 2011

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