Divya Mamootil, MD - Baltimore, MD

Divya Mamootil, MD

Student in an Organized Health Care Education/Training Program in Baltimore, Maryland

NPI 1134794050

Divya Mamootil is a Student in an Organized Health Care Education/Training Program based in Baltimore, MD. Divya Mamootil practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Divya Mamootil is 1134794050 and holds a License No. (Maryland).

The current practice location address for Divya Mamootil is 900 S. Caton Avenue, Baltimore, MD and can be reached out via phone at 667-234-5724.

Location: 900 S. Caton Avenue, Baltimore, MD, 21229

NPI Number

1134794050

Provider Name

Divya Mamootil

Credential

Provider Entity Type

Individual

Gender

Female

Address

900 S. Caton Avenue, Baltimore, MD, 21229

Phone Number

667-234-5724

Fax Number

Provider Enumeration Date

05/24/2021

Last Update Date

03/10/2024

Address

900 S. Caton Avenue

City

Baltimore

State

Maryland

Zip

21229

Phone Number

667-234-5724

Fax Number

Address

900 S. Caton Avenue

City

Baltimore

State

Maryland

Zip

21229

Phone Number

667-234-5724

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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