DR. POOVILLAM S SUBRAMANIAM-MOOTHATHU MD, FAAN, FAHA, CIME
NPI 1013910652
Psychiatry & Neurology - Neurology in Colonial Heights, VA

Q: What is Poovillam Subramaniam-moothathu's NPI number?

The NPI number for Poovillam Subramaniam-moothathu is 1013910652. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is Poovillam Subramaniam-moothathu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since May 27, 2005

3400 BOULEVARD, COLONIAL HEIGHTS, VA 23834(804) 741-6484 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Poovillam S Subramaniam-moothathu Md, Faan, Faha, Cime NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. POOVILLAM S SUBRAMANIAM-MOOTHATHU MD, FAAN, FAHA, CIME (NPI 1013910652) is an individual neurology provider in Colonial Heights, Virginia, licensed in Virginia (0101041206) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1013910652

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. POOVILLAM S SUBRAMANIAM-MOOTHATHUCredential: MD, FAAN, FAHA, CIME

Location Address3400 BOULEVARDColonial Heights, VA 23834-1418

Mailing Address620 Walsing DrRichmond, VA 23229-8133 · (804) 741-6484

Phone(804) 741-6484

Sole ProprietorNo

Enumeration DateMay 27, 2005

Last NPPES UpdateAugust 10, 2011

✔ NPI 1013910652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in VA · 0101041206

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3400 BOULEVARD, Colonial Heights, VA 23834

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Other Identifiers 1

Medicare UPINC36491VA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

P.S. SUBRAMANIAM, MD, PC

Psychiatry & Neurology (Neurology)

3400 BOULEVARD
COLONIAL HEIGHTS, VA 23834

Colonial Heights City (804) 520-1157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poovillam Subramaniam-moothathu's NPI number?

The NPI number for Poovillam Subramaniam-moothathu is 1013910652. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Poovillam Subramaniam-moothathu located?

Poovillam Subramaniam-moothathu practices at 3400 Boulevard, Colonial Heights, VA 23834. The listed phone number is (804) 741-6484.

What is Poovillam Subramaniam-moothathu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Poovillam Subramaniam-moothathu was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.