Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Poovillam S Subramaniam-Moothathu, MD, FAAN, FAHA, CIME

Individual provider Neurology Physician · NPI 1013910652

Dr. Poovillam S Subramaniam-Moothathu, MD, FAAN, FAHA, CIME is a Neurology Physician in Colonial Heights, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3400 Blvd
Colonial Heights, VA 23834-1418
Phone: (804) 741-6484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 0101041206 (VA)

Record details

NPI number1013910652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FAAN , FAHA , CIME
Sole proprietorNo
NPI enumeratedMay 27, 2005
Last updated in NPPESAugust 10, 2011

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