Bogrov, Moira U
Bogrov, Moira U is an individual health care provider with primary practice located at 2401 W Belvedere Ave Dept Of Psychiatry, Baltimore MD 21215-5216. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Addiction Psychiatry is her primary health care specialty. Bogrov, Moira U can be contacted via phone (410) 601-5355.Contact Information
Primary practice address
2401 W Belvedere Ave Dept Of Psychiatry
Baltimore MD 21215-5216
Phone: (410) 601-5355
Fax: (410) 601-6302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0037121 | Maryland |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | D0037121 | Maryland |
Profile Details
| NPI number | 1649233073 |
|---|---|
| LBN Legal business name | Bogrov, Moira U |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Oct 18th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649233073 | NPPES |
| Maryland | MEDICAID | 093591300 |
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