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1417957093
RAM MUDIYAM
NEWPORT BEACH, CA
NPI
1417957093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: CA A039174)
Enumeration Date
2005-07-26
Last Update Date
2020-02-17
Business Address
MR. RAM MUDIYAM MD
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660-7985
Phone number: 949-722-5017
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Mailing Address
MR. RAM MUDIYAM MD
22 CORPORATE PLAZA DR
NEWPORT BEACH, CA 92660-7985
Phone number: 949-722-5017
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