Organization
HYDERALI M MUKADAM MD
Active
Other names
Delta Medical Group of Montebello
Organization subpart
No
Provider details
NPI number
Authorized official
HYDERALI M MUKADAM MD (OWNER)
(323) 597-0099
Entity
Organization
Contact information
Practice address
1336 W WHITTIER BLVD, SUITE B, MONTEBELLO, CA 90640-4601
(323) 597-0099
Mailing address
1336 W WHITTIER BLVD, SUITE B, MONTEBELLO, CA 90640-4601
(323) 597-0099
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
45890
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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