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Organization
R REDDI MUTTANA MD PC
Active
Organization
R REDDI MUTTANA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMAKRISHNA MUTTANA MD (OWNER)
(718) 720-5257
Entity
Organization
Contact information
Practice address
11 RALPH PL, SUITE 317A, STATEN ISLAND, NY 10304-4401
(718) 720-5257
Mailing address
137 UPTON ST, STATEN ISLAND, NY 10304-3119
(718) 720-5257
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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