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Contact Information

CHAITANYA MUTYALA, MD
12222 MERIT DR STE 600
DALLAS, TX75251-3294
 Phone: 972-715-5000
 Fax: 972-715-9976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CHAITANYA MUTYALA · (Male)

NPI # 1548593197
Status Active
Credentials MD
Entity Individual
Enumeration date 09/15/2009
Last updated 07/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2013012526
  • TX License # P8702
Hospital affiliation(s)
  • MEMORIAL HERMANN HOSPITAL SYSTEM - (Acute Care)
    1635 NORTH LOOP WEST
    HOUSTON, TX 77008
  • MEMORIAL HERMANN SUGAR LAND HOSPITAL - (Acute Care)
    17500 W GRAND PARKWAY SOUTH
    SUGAR LAND, TX 77479
  • MEMORIAL HERMANN TEXAS MEDICAL CENTER - (Acute Care)
    6411 FANNIN
    HOUSTON, TX 77030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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