Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AMAR BASAVARAJ MUTNAL, M.D.
Active Sole ProprietorDR. AMAR BASAVARAJ MUTNAL, M.D. is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in SHEFFIELD VILLAGE, Ohio. NPI 1790999415 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · SHEFFIELD VILLAGE, OH
Registration Details
- NPI Number
- 1790999415
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2007 (19.308020776106 yrs)
- Last Updated
- Jan 28, 2021
- Licenses
-
35.120264 (OH)35.120264 (OH)ME108709 (FL)35.120264 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5319 HOAG DR STE 240SHEFFIELD VILLAGE, OH, 440351493Browse OH providers · Browse ZIP 44035
- Phone
- 4196266161
- Fax
- 4195023537
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Sports Medicine (Orthopaedic)
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.