Individual
SANJAY MUTTINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-3880
(256) 265-3886
Mailing address
4301 W MARKHAM ST #783, LITTLE ROCK, AR 72205
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00000
AL
207R00000X
Internal Medicine Physician
Primary
E-18450
AR
208M00000X
Hospitalist Physician
MD38465
AL
Other
Enumeration date
06/28/2016
Last updated
10/31/2024
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