Individual
DR. RAMAKRISHNA REDDI MUTTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 RALPH PL STE 317A, STATEN ISLAND, NY 10304-4419
(718) 720-5257
(718) 720-5258
Mailing address
11 RALPH PL STE 317A, STATEN ISLAND, NY 10304-4419
(718) 720-5257
(718) 720-5258
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
113733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00207507
—
NY
Enumeration date
02/06/2007
Last updated
07/08/2007
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