Provider Demographics
NPI:1710329800
Name:MUTHAYYA, PREETHA (MD)
Entity Type:Individual
Prefix:DR
First Name:PREETHA
Middle Name:
Last Name:MUTHAYYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLASTIC SURGERY DEPARTMENT
Mailing Address - Street 2:NORTHERN GENERAL HOSPITAL, HERRIES ROAD
Mailing Address - City:SHEFFIELD
Mailing Address - State:ENGLAND
Mailing Address - Zip Code:S5 7AU
Mailing Address - Country:GB
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PLASTIC SURGERY DEPARTMENT
Practice Address - Street 2:NORTHERN GENERAL HOSPITAL, HERRIES ROAD
Practice Address - City:SHEFFIELD
Practice Address - State:ENGLAND
Practice Address - Zip Code:S5 7AU
Practice Address - Country:GB
Practice Address - Phone:0044114-243-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP100470642086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care