Individual
ADITYA MUTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1653 E MCMURRAY BLVD STE 132, CASA GRANDE, AZ 85122-5934
(520) 876-0478
Mailing address
1410 E DOVE PL, CASA GRANDE, AZ 85122-5254
(520) 705-9199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
278633
AZ
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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