Active NPI
Subbana G. Muthuswami, MD P.C.
- Geriatric Medicine (Internal Medicine) Physician
- Port Huron, MI
National Provider Identifier
1790970317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301033903
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 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 DirectoryLocations
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.