Individual
CHAITANYA MUTYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P8702
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2013012526
MO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
P8702
TX
Other
Enumeration date
09/15/2009
Last updated
07/25/2022
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