Naveen Muthu, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD455546 Issued in PA

Practice address

3401 Civic Center Blvd
Division of Clinical Informatics
Philadelphia, PA 19104-4319

Phone

(314) 517-3667

NPI assigned

Apr 24, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arthur M. Blank Hospital, Inc.

  • Children's Hospital
  • Atlanta, GA
  • NPI 1689744450
  NPD (past)
• Egleston Children'S Hospital at Emory University, Inc.

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Atlanta, GA
  • NPI 1558416701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1477844504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S 21ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461325",
            "telephone_number": "314-517-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "DIVISION OF CLINICAL INFORMATICS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "314-517-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHU",
        "first_name": "NAVEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD455546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Musunuru, M.D., PH.D.
• Dorotea Mutabdzic, MD
• Faith Mutale, CRNP
• Erica Mutchnick, MS
• Mahisha Virdiana Muthu Sivan, MBBS
• Carlene A Muto, MD
• Carole Muto, CRNP
• Helen Mutoko
• Rishab Badra Mutpur, DPM
• Donna Marie Mutsavage, PHARMD

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.