Doctor Name: | NAVEEN MUTHU |
NPI Number: | 1477844504 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD455546 |
Business Practice Address: | 3401 Civic Center Blvd Division Of Clinical Informatics Philadelphia, PA - 191044319 |
Business Phone Number: | 3145173667 |
Business Fax Number: | |
Mailing Address: | 507 S 21st St, PHILADELPHIA |
State: | PA |
Postal Code: | 191461325 |
Phone Number: | 3145173667 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2011 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD455546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |