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

Dr. Mohammed G Kiddugavu, MD

Individual provider Internal Medicine Physician · NPI 1952446601

Dr. Mohammed G Kiddugavu, MD is an Internal Medicine in Randallstown, Maryland. Qualified in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
30
Licensed in
MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5415 Old Court Rd 101
Randallstown, MD 21133-5172
Phone: (410) 719-0020
Fax: (410) 744-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0070832 (MD)
Infectious Disease Physician Taxonomy 207RI0200X · Licence D0070832 (MD)

Record details

NPI number1952446601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJuly 9, 2021
Certification dateJuly 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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