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Contact Information

ABIJAH MUTHYALA, MD
1575 BEAM AVE
MAPLEWOOD, MN55109
 Phone: 651-326-7200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for ABIJAH MUTHYALA · (Male)

NPI # 1528465655
Status Active
Credentials MD
Entity Individual
Enumeration date 12/04/2014
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 63818
  • MO License # 2018012787
Hospital affiliation(s)
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
  • HENNEPIN COUNTY MEDICAL CENTER - (Acute Care)
    701 PARK AVENUE
    MINNEAPOLIS, MN 55415
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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