Individual
DR. ABIJAH MUTHYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109
(651) 326-7200
Mailing address
8901 MISSION RD, LEAWOOD, KS 66206-1709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018012787
MO
207R00000X
Internal Medicine Physician
Primary
63818
MN
208M00000X
Hospitalist Physician
63818
MN
Other
Enumeration date
12/04/2014
Last updated
10/18/2023
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