MEDICARE: DR. SARASWATI MUTTAL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	4301077928	MI
2	2084N0400X	Neurology Physician	MD440804	PA
3	2084N0400X	Neurology Physician	0101247046	VA
4	2084N0400X	Neurology Physician	72794	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	49299	OTHER	CT	STATE LICENSE
2	ME119782	OTHER	FL	FL STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780612671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARASWATI MUTTAL MD

Provider Business Mailing Address
First Line	:	3 MARYLAND FARMS STE 200
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5780
Country	:	US
Telephone Number	:	615-345-5400
Fax Number	:	615-345-5405

Provider Business Practice Location Address
First Line	:	4612 MOTIF TER
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240-2525
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	11/10/2025

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Directions to “ DR. SARASWATI MUTTAL MD” Practice Location

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