Organization
RAM MUDIYAM MD INC
Active
Parent organization
RAM MUDIYAM MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAM MUDIYAM MD INC
Authorized official
DR. RAM MUDIYAM MD (PRESIDENT OWNER)
(714) 979-2401
Entity
Organization
Contact information
Practice address
11190 WARNER AVE, SUITE 310, FOUNTAIN VALLEY, CA 92708-4019
(714) 979-2401
(714) 966-0837
Mailing address
11190 WARNER AVE, SUITE 310, FOUNTAIN VALLEY, CA 92708-4019
(714) 979-2401
(714) 966-0837
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A39174
CA
Other
Enumeration date
02/25/2008
Last updated
05/02/2011
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