Individual ProviderMufaddal DahodwalaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address25775 Mcbean Pkwy Ste 215, Valencia, CA 91355-3703(661) 753-5464PECOS EnrollmentBased on the most recent information from CMS, provider Mufaddal Dahodwala is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053754689Provider TypeIndividualFull NameDahodwala, MufaddalTitleMr.GenderMaleSole ProprietorNoEnumeration Date4/13/2013Last Updated10/25/2021Contact InformationPractice LocationPractice Address25775 Mcbean Pkwy Ste 215, Valencia, CA 91355-3703Phone(661) 753-5464Fax(661) 753-5466Mailing LocationMailing AddressPO Box 232410, San Diego, CA 92193-2410PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA133734California