Individual
THOMAS J ELUVATHINGAL MUTTIKKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9400
(434) 982-1618
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
0101253104
VA
2085R0202X
Diagnostic Radiology Physician
0101253104
VA
Other
Enumeration date
09/09/2010
Last updated
11/05/2025
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