DIVYA MAMOOTIL M.D. NPI 1134794050

NPI Information

  • NPI: 1134794050
  • Provider Name: DIVYA MAMOOTIL, M.D.
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Individual
  • Address: 300 SEYMOUR AVE STE 202
    DERBY, CT
    ZIP 06418
  • Phone: (203) 732-2651

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NPI Details

Divya Mamootil, M.D. is a rheumatology internal medicine in Derby, CT. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Divya Mamootil, M.D. NPI is 1134794050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 SEYMOUR AVE STE 202
DERBY, CT
ZIP 06418-343
Phone: (203) 732-2651
Fax: (203) 732-2654

The enumeration date for this NPI number is 5/24/2021 and was last updated on 9/29/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatologyMT231028PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207RR0500XInternal MedicineRheumatology82939CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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