Individual provider · Type 1 NPI

Chethan Ram Mudiyam, MD

Obstetrics & Gynecology Physician · Phoenix, AZ

NPI number 1609361971 Active

Practice location

1441 N 12th St
Phoenix, AZ 85006-2837

Fax (602) 521-5701

Mailing address

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XR77674 (AZ)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1609361971

Chethan Ram Mudiyam, MD's National Provider Identifier is 1609361971, issued on Jun 28, 2018. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 4, 2019.