Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Deidra Fawn Muto, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1609164227

Dr. Deidra Fawn Muto, MD is an Anatomic Pathology & Clinical Pathology Physician in Charleston, West Virginia. Practices as a sole proprietor. Licensed in South Carolina and West Virginia.

Licensed in
SC, WV
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

219 Georgetown Pl
Charleston, WV 25314-1871 Not confirmed with CMS for 15 years — call before visiting
Phone: (304) 543-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 21489 (WV)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 21492 (SC)

Record details

NPI number1609164227
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2011
Last updated in NPPESJuly 17, 2011

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients202
Services billed 482 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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