IndividualActive
Deidra Muto, M.D.
NPI 1609164227 · Anatomic Pathology & Clinical Pathology Physician · Charleston, WV
Provider details
- NPI number
- 1609164227
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21489 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
219 Georgetown Pl
Charleston, WV 25314-1871
Phone: (304) 543-2663
Approximate (ZIP-level) locationGet directions
Mailing address
219 Georgetown Pl
Charleston, WV 25314-1871
Registry dates
- Enumerated
- 2011-07-17
- Last updated
- 2011-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.