Poovillam S Subramaniam-moothathu MD, FAAN, FAHA, CIME

NPI 1013910652 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1013910652
Gender Male
Enumeration Date 05/27/2005
Last Updated 08/10/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
3400 BOULEVARD
COLONIAL HEIGHTS VA, 23834-1418, US
Phone (804) 741-6484
Fax
Business Location
620 WALSING DR
RICHMOND VA, 23229-8133, US
Phone (804) 741-6484
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Virginia
License Number 0101041206
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According to our database, Dr. Poovillam S Subramaniam-moothathu MD, FAAN, FAHA, CIME NPI is 1013910652, taxonomy code is 2084N0400X and license number is 0101041206, license state is located at Virginia. Poovillam S Subramaniam-moothathu MD, FAAN, FAHA, CIME physically located at 3400 Boulevard, Colonial Heights VA, 23834-1418. NPI Number Poovillam S Subramaniam-moothathu MD, FAAN, FAHA, CIME has the Individual type.

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1013910652 NPI number is provided on an as is basis without warranty of any kind. 1013910652 is maintained by the National Plan & Provider Enumeration System. The contents of Poovillam S Subramaniam-moothathu MD, FAAN, FAHA, CIME are for informational purposes only.