Subramaniam-Moothathu, Poovillam S

Subramaniam-Moothathu, Poovillam S is an individual health care provider with primary practice located at 3400 Boulevard , Colonial Heights VA 23834-1418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Subramaniam-Moothathu, Poovillam S can be contacted via phone (804) 741-6484.

Contact Information

Primary practice address
3400 Boulevard Colonial Heights VA 23834-1418
Phone: (804) 741-6484
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101041206 Virginia

Profile Details

NPI number 1013910652
LBN Legal business name Subramaniam-Moothathu, Poovillam S
Credentials MD, FAAN, FAHA, CIME
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Aug 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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