Individual
DR. UMADEVI MUTHYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3660 BOULEVARD, SUITE G, COLONIAL HEIGHTS, VA 23834-1345
(804) 526-5566
(804) 526-5568
Mailing address
3660 BOULEVARD, SUITE G, COLONIAL HEIGHTS, VA 23834-1345
(804) 526-5566
(804) 526-5568
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101251547
VA
208M00000X
Hospitalist Physician
2006024366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
06/24/2006
Last updated
07/05/2012
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