Individual provider · Type 1 NPI
Poovillam S. Subramaniam-Moothathu, MD, FAAN, FAHA, CIME
Neurology Physician · Colonial Heights, VA
NPI number
1013910652
Active
Practice location
3400 Boulevard
Colonial Heights, VA 23834-1418
Mailing address
620 Walsing Dr
Richmond, VA 23229-8133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 0101041206 (VA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Another provider at this address
About NPI 1013910652
Poovillam S. Subramaniam-Moothathu, MD, FAAN, FAHA, CIME's National Provider Identifier is 1013910652, issued on May 27, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Colonial Heights, VA. The record was last updated on Aug 10, 2011.