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Mukta Medical Inc

Infectious Disease Physician in Randallstown, MD · enumerated 2015 · authorized official Mohammed Kiddugavu, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194197152

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Registry record

Entity type Organization (Type 2)
Legal business name Mukta Medical Inc
Practice address 5415 Old Court Rd, Suite 101, Randallstown, MD, 21133
Fax (410) 922-1612
Enumeration date Oct 29, 2015
Last updated in NPPES Sep 14, 2016

Taxonomy & classification

207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians · License D0070832 (MD) Primary

Authorized official

Name Mohammed Kiddugavu
Title Owner

Other identifiers

Identifier Type State Issuer
901901400 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mukta Medical Inc located?
The practice location on file with NPPES is in Randallstown, MD.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-09-14. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-14.