Deivasumathy Muthugovindan, MBBS

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

P21454 Issued in MD

Practice address

200 N Wolfe St
Suite 2158
Baltimore, MD 21287-0001

Phone

(410) 502-8073

Fax

(410) 955-6070

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629124631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMILL CT",
            "address_2": "APT 3B",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173468",
            "telephone_number": "410-363-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N WOLFE ST",
            "address_2": "SUITE 2158",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870001",
            "telephone_number": "410-502-8073",
            "fax_number": "410-955-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUGOVINDAN",
        "first_name": "DEIVASUMATHY",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MD",
            "license": "P21454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Musumeci, CRNP
• Irene Mosongo Muteck, FNP-C
• Ivy Muteithia
• Kenneth G Muthee
• Richard William Muths, D.D.S.
• Srinivasan Muthukrishnan
• Arachchige Pubudini Muthukuda, MD
• Brinda Muthusamy, MBCHB
• Justine E Muyu, LCPC
• Aletta Muzila, LCPC

• Neurology with Special Qualifications in Child Neurology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.