Individual
MOHAN MUVVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8232 LOUISIANA BLVD NE STE A, ALBUQUERQUE, NM 87113-2429
(505) 605-3286
(505) 439-7139
Mailing address
8206 LOUISIANA BLVD NE STE A, ALBUQUERQUE, NM 87113-1738
(505) 605-3286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
58.031299
OH
207Q00000X
Family Medicine Physician
Primary
DO2023-1034
NM
Other
Enumeration date
04/02/2020
Last updated
09/03/2025
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