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Search › Arizona › Obstetrics & Gynecology Physician

Chethan Mudiyam, MD

NPI 1609361971 · on the registry since 2018

Practice

Address
1441 N 12th St
Phoenix, AZ 85006
Phone
(602) 521-5700
Fax
(602) 521-5701
Organisation at this address
Banner Good Samaritan
Banner Health Network
Banner Pharmacy Services Llc
Banner Pharmacy Services Llc
Banner Occupational Health Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
209

Registry record

Primary taxonomy
Obstetrics & Gynecology Physician
207V00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona