Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mukta Medical Inc

Organization Infectious Disease Physician · NPI 1194197152

Mukta Medical Inc is an Infectious Disease Physician in Randallstown, Maryland. Licensed in Maryland. Registered with an NPI since 2015.

Licensed in
MD
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5415 Old Court Rd Ste 101
Randallstown, MD 21133-5170
Phone: (410) 922-2650
Fax: (410) 922-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence D0070832 (MD)

Record details

NPI number1194197152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Kiddugavu — Owner · (410) 922-2650
NPI enumeratedOctober 29, 2015
Last updated in NPPESSeptember 14, 2016
Mailing addressPo Box 4784, Baltimore, MD 21211-0784

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