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1760114417 NPI number — SUMEET SINGH MUTTI MD

NPI Number: 1760114417
Health Care Provider/Practitioner: SUMEET SINGH MUTTI MD

Information about “1760114417” NPI (SUMEET SINGH MUTTI MD) exists in 1760114417 in HTML format HTML  |  1760114417 in plain Text format TXT  |  1760114417 in PDF (Portable Document Format) PDF  |  1760114417 in an XML format XML  formats.

NPI Number : 1760114417 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760114417",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MUTTI",
    "FirstName": "SUMEET",
    "MiddleName": "SINGH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10401 W THUNDERBIRD BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUN CITY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85351-3004",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-592-4680",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10401 W THUNDERBIRD BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUN CITY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85351-3004",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-832-4728",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/29/2022",
    "LastUpdateDate": "07/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "76892",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208M00000X",
          "TaxonomyName": "Hospitalist Physician",
          "LicenseNumber": "76892",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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