| NPI | 1366758989 |
|---|---|
| Former Name | ANURADHA MUTYALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD457666) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NY N/A) |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: PA MD457666) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2023-10-06 |