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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

YUKTHI REDDY MUDIAM
NPI 1659277879
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since October 15, 2026
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-5147 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Yukthi Reddy Mudiam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YUKTHI REDDY MUDIAM (NPI 1659277879) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1659277879
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameYUKTHI REDDY MUDIAM
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address7223 Still Haven DrRichmond, TX 77407-7132 · (713) 514-3666
Phone(313) 745-5147
Sole ProprietorNo
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1659277879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yukthi Mudiam's NPI number?

The NPI number for Yukthi Mudiam is 1659277879. It was assigned to this individual provider in the NPPES registry on October 15, 2026.

Where is Yukthi Mudiam located?

Yukthi Mudiam practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-5147.

What is Yukthi Mudiam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Yukthi Mudiam was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.