SUBHAKAR MUTYALA


Address: 2222 E Highland Ave Ste 130, Phoenix, AZ 85016
Phone: 6022832345

SUBHAKAR MUTYALA (NPI# 1851472286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851472286
Entity Type Individual
Full Name SUBHAKAR MUTYALA
Credential MD
Practice Address 2222 E Highland Ave Ste 130
Phoenix
AZ 85016
Mailing Address 1760 E River Rd Ste 350
Tucson
AZ 85718-5999
Practice Telephone 6022832345
Practice Fax Number 6022833039
Mailing Telephone 5205197775
Mailing Fax Number 5205197910
Enumeration Date 2006-10-19
Last Update Date 2018-06-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
50442 AZ Allopathic & Osteopathic Physicians

Office Location

Street Address 2222 E HIGHLAND AVE STE 130
City PHOENIX
State AZ
Zip Code 85016

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063608735 Catherine Anderson North Radiology 1410 Phoenix Rd W, Phoenix, MD 21131-1024 2007-09-17
1932319878 Devin Joshua Sloan Radiology 20601 N 19th Ave Ste 115, Phoenix, AZ 85027-2646 2007-05-22
1720042146 Christopher A Biggs Radiology 1916 W Bethany Home Rd Ste 100, Phoenix, AZ 85015-2458 2006-04-13
1750345401 Coral A Quiet Radiology 19646 N 27th Ave Ste 108, Phoenix, AZ 85027-4025 2006-04-12
1275509846 Thomas P Canty Radiology 20601 N 19th Ave, Suite 115, Phoenix, AZ 85027-3587 2006-02-24
1114992252 David C Beyer Radiology 3104 E Camelback Rd Ste 931, Phoenix, AZ 85016-4502 2006-02-22
1992786628 Rufus J. Mark Radiology 4611 E. Shea Blvd, Ste 120, Phoenix, AZ 85028-4255 2005-11-09
1346235405 John Dover Radiology 3815 E Bell Rd Suite 2200, Phoenix, AZ 85032-2139 2005-09-14
1396155461 Justin Famoso Radiology 19646 N 27th Ave Ste 108, Phoenix, AZ 85027 2014-04-29
1326487307 Arti Sangave Radiology 925 E Mcdowell Rd, Phoenix, AZ 85006-2502 2013-06-22
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Competitor

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City PHOENIX
Zip Code 85016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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