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Organization
SURESHKUMAR MUTTATH MD LLC
Active
Organization
SURESHKUMAR MUTTATH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURESHKUMAR MUTTATH (DIRECTOR)
(301) 277-8100
Entity
Organization
Contact information
Practice address
5711 SARVIS AVE, SUITE 200, RIVERDALE, MD 20737-1394
(301) 277-8100
(301) 277-0668
Mailing address
5711 SARVIS AVE, SUITE 200, RIVERDALE, MD 20737-1394
(301) 277-8100
(301) 277-0668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0058290
MD
Other
Enumeration date
06/25/2006
Last updated
04/29/2025
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