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1639854060
RATNABHUSHAN MUTYALA
PHILADELPHIA, PA
NPI
1639854060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MT228086)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
DR. RATNABHUSHAN MUTYALA MD
3401 N BROAD ST
PHILADELPHIA, PA 19140-5189
Phone number: 800-836-7536
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Mailing Address
DR. RATNABHUSHAN MUTYALA MD
32 BASALT ST
TOWNSEND, DE 19734-2017
Phone number:
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