Dr. Divya Mamootil, MD
Dr. Divya Mamootil, MD is a Rheumatology in Derby, Connecticut. Qualified in 2020, 6 years ago. Licensed in Connecticut and Pennsylvania.
- Years since qualifying
- 6
- Licensed in
- CT, PA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
300 Seymour Ave Ste 203BDerby, CT 06418-1343
Phone: (203) 516-5303
Fax: (203) 732-8136
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rheumatology Physician (primary) | Taxonomy 207RR0500X · Licence 82939 (CT) |
|---|---|
| Rheumatology Physician | Taxonomy 207RR0500X · Licence MT231028 (PA) |
Record details
| NPI number | 1134794050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 24, 2021 |
| Last updated in NPPES | July 9, 2026 |
| Certification date | July 9, 2026 |
| Mailing address | 67 Maple Ave, Derby, CT 06418-1328 |
Medicare enrollment
| Medicare specialty | RHEUMATOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Derby
-
Golfam Fadaei, MD
130 Division St, Derby, CT 06418-1326 · (203) 732-7327
-
Don-Andre Jackson
130 Division St, Derby, CT 06418-1326 · (203) 732-1330