Individual
BHANU MUNIYAPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARIO CAPECCHI DR, PEDIATRICS RESIDENCY PROGRAM, SALT LAKE CITY, UT 84113-1103
(801) 662-5700
Mailing address
100 MARIO CAPECCHI DR, PEDIATRICS RESIDENCY PROGRAM, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9529294-1205
UT
Other
Enumeration date
04/01/2014
Last updated
11/30/2021
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