Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIVYA MAMOOTIL, M.D.
ActiveDIVYA MAMOOTIL, M.D. is a Rheumatology healthcare provider located in DERBY, Connecticut. NPI 1134794050 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · DERBY, CT
Registration Details
- NPI Number
- 1134794050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2021 (5.2342123449591 yrs)
- Last Updated
- Sep 29, 2025
- Licenses
-
MT231028 (PA)82939 (CT)
Practice Information
- Address
-
300 SEYMOUR AVE STE 202DERBY, CT, 064181343Browse CT providers · Browse ZIP 06418
- Phone
- 2037322651
- Fax
- 2037322654
- Primary Specialty
-
Rheumatology
207RR0500X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Rheumatology
Other Rheumatology Providers in DERBY, CT
| Name | Credential | NPI |
|---|---|---|
| DON-ANDRE JACKSON | — | 1508250952 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.