CHETHAN RAM MUDIYAM

PHOENIX, AZ
NPI1609361971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: AZ  R77674)
Enumeration Date2018-06-28
Last Update Date2019-09-04
Business Address
CHETHAN RAM MUDIYAM MD
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number: 602-521-5700
Mailing Address
CHETHAN RAM MUDIYAM MD
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-3827