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Individual
MANIKYAM MUTYALA
Active
Individual
MANIKYAM MUTYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
229717-1
NY
208600000X
Surgery Physician
229717-1
NY
2086S0129X
Vascular Surgery Physician
Primary
229717-1
NY
Other
Enumeration date
07/21/2006
Last updated
04/29/2026
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