Individual
SUBHAKAR MUTYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 E HIGHLAND AVE STE 130, PHOENIX, AZ 85016
(602) 283-2345
(602) 283-3039
Mailing address
1760 E RIVER RD STE 350, TUCSON, AZ 85718-5999
(520) 519-7775
(520) 519-7910
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
50442
AZ
Other
Enumeration date
10/19/2006
Last updated
06/19/2018
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