Ram Mudiyam MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A39174 Issued in CA

Legal business name

RAM MUDIYAM MD INC

Practice address

11190 Warner Ave
Suite 310
Fountain Valley, CA 92708-4019

Phone

(714) 979-2401

Fax

(714) 966-0837

NPI assigned

Feb 25, 2008

Organization subpart

Yes

Parent organization

RAM MUDIYAM MD INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ram Mudiyam, MD

Title

President Owner

Phone

(714) 979-2401

Specialties & licenses 1

Addresses

Part of

Ram Mudiyam MD Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1265601199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 310",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-979-2401",
            "fax_number": "714-966-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 310",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-979-2401",
            "fax_number": "714-966-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM MUDIYAM MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAM MUDIYAM MD INC",
        "enumeration_date": "2008-02-25",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "MUDIYAM",
        "authorized_official_first_name": "RAM",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "714-979-2401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A39174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.