Mona Al Mukaddam, MD
Internal Medicine, Endocrinology, Diabetes & Metabolism in Philadelphia, PA. Individual provider (NPI-1).
NPI number1043400567
StatusActive
Last updated in NPPESNov 6, 2025
Details
- NPI
- 1043400567
- Entity type
- Individual (NPI-1)
- Name
- Mona Al Mukaddam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2007
- Certification date
- Nov 6, 2025
- Last updated
- Nov 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | MD445313 | PA | Yes |
| 207R00000X | Internal Medicine | MD445313 | PA |
Practice location
3400 Civic Center Blvd.West Pavilion, 4th Floor
Philadelphia, PA 19104-5134
Phone 215-662-2300 · Fax 215-614-0418
Mailing address
3400 Civic Center Blvd.West Pavilion, 4th Floor
Philadelphia, PA 19104-5134
Phone 215-662-2300 · Fax 215-614-0418
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