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Individual

DR. RAMAKRISHNA MUTYALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-4000
(934) 641-4500
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6128

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35.134344
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0297659
OH
Enumeration date
01/24/2008
Last updated
11/11/2025
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