Organization Active NPI

Subbana G. Muthuswami, MD P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Port Huron, MI
National Provider Identifier
1790970317
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
4301033903 Issued in MI
Legal business name
SUBBANA G. MUTHUSWAMI, MD P.C.
Practice address
2603 Electric Ave
Suite1
Port Huron, MI 48060-6588
Phone
(810) 987-5252
Fax
(810) 987-2120
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Subbana Gounder Muthuswami, MD
Title
President
Phone
(810) 987-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X 4301033903 MI Primary

Addresses

Primary practice location

2603 Electric Ave
Suite1
Port Huron, MI 48060-6588

Mailing address

2603 Electric Ave
Suite1
Port Huron, MI 48060-6588
Phone (810) 987-5252

National Provider Directory

National Provider Directory

Locations

2603 Electric Ave
Ste 1
Port Huron, MI 48060
Phone (810) 824-4198

45640 Schoenherr Rd
Utica, MI 48315
Phone (586) 247-4300

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1790970317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE",
            "address_2": "SUITE1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "810-987-5252",
            "fax_number": "810-987-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 ELECTRIC AVE",
            "address_2": "SUITE1",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606588",
            "telephone_number": "810-987-5252",
            "fax_number": "810-987-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBANA G. MUTHUSWAMI, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "MUTHUSWAMI",
        "authorized_official_first_name": "SUBBANA",
        "authorized_official_middle_name": "GOUNDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-987-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301033903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.