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Dr. Poovillam S Subramaniam-moothathu, MD,FAAN,FAHA,CIME
Neurology Physician in Colonial Heights, Virginia
NPI 1013910652

Poovillam S Subramaniam-moothathu is a Neurology Physician based in Richmond, VA and is specialized in Neurology. Poovillam S Subramaniam-moothathu practices in Colonial Heights, VA and has the professional credentials of MD,FAAN,FAHA,CIME. The NPI Number for Poovillam S Subramaniam-moothathu is 1013910652 and holds a License No. 0101041206 (Virginia).

The current practice location address for Poovillam S Subramaniam-moothathu is 3400 Boulevard, Colonial Heights, VA and can be reached out via phone at 804-741-6484.

Location: 3400 Boulevard, Colonial Heights, VA, 23229-8133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013910652
Provider Name
Poovillam S Subramaniam-moothathu
Credential
MD,FAAN,FAHA,CIME
Provider Entity Type
Individual
Gender
Male
Address
3400 Boulevard, Colonial Heights, VA, 23229-8133
Phone Number
804-741-6484
Fax Number
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3400 Boulevard
City
Colonial Heights
State
Virginia
Zip
23834-1418
Phone Number
804-741-6484
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Boulevard
City
Colonial Heights
State
Virginia
Zip
23834-1418
Phone Number
804-741-6484
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
0101041206 (Virginia)
Definition
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.
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