Individual
NAVEEN MUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF CLINICAL INFORMATICS, PHILADELPHIA, PA 19104-4319
(314) 517-3667
Mailing address
507 S 21ST ST, PHILADELPHIA, PA 19146-1325
(314) 517-3667
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD455546
PA
Other
Enumeration date
04/24/2011
Last updated
12/29/2015
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