Individual provider · Type 1 NPI
Selvaganesan Muthu Purushothaman
Diagnostic Radiology Physician · Boston, MA
NPI number
1629986146
Active
Practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
205 Revere Beach Pkwy Unit 612
Revere, MA 02151-5490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 3020791 (MA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1629986146
Selvaganesan Muthu Purushothaman's National Provider Identifier is 1629986146, issued on Aug 28, 2026. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Aug 28, 2026.