Individual
DR. RAMESH MUTYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7000
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
2006-01215
NC
Other
Enumeration date
07/10/2006
Last updated
01/12/2022
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