Organization
GERALD MUTHU, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAVITHA JAGADEESAN (OFFICE MANAGER)
(520) 876-0478
Entity
Organization
Contact information
Practice address
1667 E MONUMENT PLAZA CIR, CASA GRANDE, AZ 85222-5600
(520) 876-0478
(520) 876-0484
Mailing address
1667 E MONUMENT PLAZA CIR, CASA GRANDE, AZ 85222-5600
(520) 876-0478
(520) 876-0484
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
AZ
Other
Enumeration date
02/26/2007
Last updated
08/22/2020
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