R Reddi Muttana MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

R REDDI MUTTANA MD PC

Practice address

11 Ralph PL
Suite 317a
Staten Island, NY 10304-4401

Phone

(718) 720-5257

NPI assigned

Aug 26, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ramakrishna Muttana, MDNPI 1083753958

Title

Owner

Phone

(718) 720-5257

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramakrishna Reddi Muttana, MD

  • Ophthalmology Physician
  • Staten Island, NY
  • NPI 1083753958
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1396025920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 UPTON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043119",
            "telephone_number": "718-720-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 317A",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-720-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R REDDI MUTTANA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "MUTTANA",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-720-5257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.