Provider Demographics
NPI:1043486640
Name:NAADIMUTHU, AMIRTHA (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIRTHA
Middle Name:
Last Name:NAADIMUTHU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CHEYENNE DR
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5124
Mailing Address - Country:US
Mailing Address - Phone:609-737-0772
Mailing Address - Fax:
Practice Address - Street 1:19 CHEYENNE DR
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5124
Practice Address - Country:US
Practice Address - Phone:609-737-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-03
Last Update Date:2008-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA035511002080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology