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

Individual provider Internal Medicine Physician · NPI 1639854060

Dr. Ratnabhushan Mutyala, MD is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from Drexel University College of Medicine in 2023, 3 years ago. Licensed in Pennsylvania.

Years since qualifying
3
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2023
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

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (800) 836-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD494225 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT228086 (PA)

Record details

NPI number1639854060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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