Doctor Name: | MS. VASUNDHARA MUTHU |
NPI Number: | 1972753028 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0075408 |
Business Practice Address: | 3995 Old Town Rd Suite 101 Huntingtown, MD - 206399407 |
Business Phone Number: | 4105353612 |
Business Fax Number: | 4105353613 |
Mailing Address: | 3995 Old Town Rd, Suite 101 HUNTINGTOWN |
State: | MD |
Postal Code: | 206393039 |
Phone Number: | 4105353612 |
Fax Number: | 4105353613 |
NPI Enumeration Date: | 09/25/2008 |
NPI Last Update Date: | 12/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | D0075408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |