Selvaganesan Muthu Purushothaman

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

3020791 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2696

Phone

(617) 726-2000

NPI assigned

Aug 28, 2026

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

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1629986146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REVERE BEACH PKWY UNIT 612",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515490",
            "telephone_number": "617-935-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHU PURUSHOTHAMAN",
        "first_name": "SELVAGANESAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "3020791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khalid Mustafa
• Saif Raed Mustafa
• Wissam H. Mustafa, M.D.
• Mohammad Hashim Mustehsan
• Rachel Hannah Muster
• Muthoka L Mutinga, M.D.
• Sima Mutlu
• Michael George Muto, MD
• Melissa Nicole Mutrie, PA-C
• George Luther Mutter, MD

• Diagnostic Radiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.