Hyderali M Mukadam MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

45890 Issued in CA

Legal business name

HYDERALI M MUKADAM MD

Doing business as

Delta Medical Group of Montebello

Practice address

1336 W Whittier Blvd
Suite B
Montebello, CA 90640-4601

Phone

(323) 597-0099

NPI assigned

Oct 4, 2016

Last updated

Oct 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyderali M Mukadam, MD

Title

Owner

Phone

(323) 597-0099

Specialties & licenses 1

Addresses

Other names 1

• Delta Medical Group of Montebello Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajiv H Bhuva, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Azusa, CA
  • NPI 1821148941
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1528518446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 W WHITTIER BLVD",
            "address_2": "SUITE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404601",
            "telephone_number": "323-597-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 W WHITTIER BLVD",
            "address_2": "SUITE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404601",
            "telephone_number": "323-597-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDERALI M MUKADAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "MUKADAM",
        "authorized_official_first_name": "HYDERALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-597-0099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "45890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Medical Group of Montebello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Chong Huang, D.P.M.
• Sheng Hao Huang, DDS
• Kyung Ok Kim Huh, M.D.
• Jennifer H. Hung, MD.
• Hailey H Hwangbo, NP
• Liliane Idylle, D.O.
• Iftikhar a. Khan M.D., Inc.
• Dale David Inouye, D.D.S.
• Internal Medicine MDS Corp
• Ira E Felman MD (San Gabriel Valley Oncology Center)

• Adult Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.