# HYDERALI M MUKADAM MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Delta Medical Group of Montebello
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528518446
- **Authorized official:** HYDERALI M MUKADAM MD (OWNER)
- **Authorized official phone:** (323) 597-0099

## Contact information

- **Practice address:** 1336 W WHITTIER BLVD, SUITE B, MONTEBELLO, CA 90640-4601
- **Practice address phone:** (323) 597-0099
- **Mailing address:** 1336 W WHITTIER BLVD, SUITE B, MONTEBELLO, CA 90640-4601
- **Mailing address phone:** (323) 597-0099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 45890 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 10/04/2016