Individual
MS. VASUNDHARA MUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3995 OLD TOWN RD, SUITE 101, HUNTINGTOWN, MD 20639-9407
(410) 535-3612
(410) 535-3613
Mailing address
3995 OLD TOWN RD, SUITE 101, HUNTINGTOWN, MD 20639-3039
(410) 535-3612
(410) 535-3613
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0075408
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114505300
—
MD
Enumeration date
09/25/2008
Last updated
12/30/2015
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