DELTA MEDICAL GROUP OF MONTEBELLO – NPI #1528518446
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

DELTA MEDICAL GROUP OF MONTEBELLO is a provider located in MONTEBELLO, CA. NPPES has assigned the NPI number 1528518446 to DELTA MEDICAL GROUP OF MONTEBELLO on October 04, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DELTA MEDICAL GROUP OF MONTEBELLO” is a dba name, the actual legal business name for this organization is HYDERALI M MUKADAM MD. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DELTA MEDICAL GROUP OF MONTEBELLO below.

NPI Profile for
HYDERALI M MUKADAM MD

NPI Number
1528518446
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HYDERALI M MUKADAM MD
Doing Business As (dba): DELTA MEDICAL GROUP OF MONTEBELLO
Primary location
1336 W WHITTIER BLVD
SUITE B
MONTEBELLO, CA 90640-4601
Phone: (323) 597-0099 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HYDERALI MUKADAM
OWNER
Phone: (323) 597-0099
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)		 CA 45890

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.