Individual
RAMA K MUDDARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13555 W. MCDOWELL RD., SUITE 204, GOODYEAR, AZ 85395-2626
(623) 247-0300
(623) 247-9268
Mailing address
13555 W. MCDOWELL RD., SUITE 204, GOODYEAR, AZ 85395-2626
(623) 247-0300
(623) 247-9268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226060
AHCCCS
AZ
05
—
226060
—
AZ
Enumeration date
06/03/2006
Last updated
05/13/2016
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