Mutyala, Sireesha

Mutyala, Sireesha is an individual health care provider with primary practice located at 4512 Legacy Dr Ste 200 , Plano TX 75024-2187. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mutyala, Sireesha can be contacted via phone (972) 491-7900.

Contact Information

Primary practice address
4512 Legacy Dr Ste 200 Plano TX 75024-2187
Phone: (972) 491-7900
Fax: (972) 491-7921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X L0440 Texas

Profile Details

NPI number 1306815139
LBN Legal business name Mutyala, Sireesha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Apr 13th, 2021 - about 3 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.

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