# RAM MUDIYAM MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RAM MUDIYAM MD INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265601199
- **Legal business name:** RAM MUDIYAM MD INC
- **Authorized official:** DR. RAM MUDIYAM MD (PRESIDENT OWNER)
- **Authorized official phone:** (714) 979-2401

## Contact information

- **Practice address:** 11190 WARNER AVE, SUITE 310, FOUNTAIN VALLEY, CA 92708-4019
- **Practice address phone:** (714) 979-2401
- **Practice address fax:** (714) 966-0837
- **Mailing address:** 11190 WARNER AVE, SUITE 310, FOUNTAIN VALLEY, CA 92708-4019
- **Mailing address phone:** (714) 979-2401
- **Mailing address fax:** (714) 966-0837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A39174 | CA | Yes |

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 05/02/2011