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1609361971
CHETHAN RAM MUDIYAM
PHOENIX, AZ
NPI
1609361971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AZ R77674)
Enumeration Date
2018-06-28
Last Update Date
2019-09-04
Business Address
CHETHAN RAM MUDIYAM MD
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-521-5700
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Mailing Address
CHETHAN RAM MUDIYAM MD
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-3827
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