Sudeep Mutyala
Sudeep Mutyala is a Student in an Organized Health Care Education/Training Program in Bethlehem, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
801 Ostrum StBethlehem, PA 18015-1000
Phone: (484) 526-4644
Fax: (833) 828-1813
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1336843903 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2023 |
| Last updated in NPPES | March 28, 2023 |
| Certification date | March 28, 2023 |
| Mailing address | 8777 Grady Dr, Breinigsville, PA 18031-4106 |
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