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Individual
DR. SHRUTI PRADEEP MUTALIK
Active
Individual
DR. SHRUTI PRADEEP MUTALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
272213
NY
2084P0800X
Psychiatry Physician
Primary
272213
NY
2084P0805X
Geriatric Psychiatry Physician
272213
MD
Other
Enumeration date
09/15/2008
Last updated
11/18/2015
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