Mutyala, Krishnamallika
Mutyala, Krishnamallika is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Mutyala, Krishnamallika can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1 Childrens Plz
Dayton OH 45404-1815
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 35.134216 | Ohio |
Profile Details
| NPI number | 1528299880 |
|---|---|
| LBN Legal business name | Mutyala, Krishnamallika |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2009 |
| Last updated | Oct 16th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528299880 | NPPES |
| Ohio | MEDICAID | 0296480 |
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