Mahesh Moondra, Md, Pa

LBN: Mahesh Moondra, Md, Pa
Mahesh Moondra, Md, Pa is an health care organization with primary practice located at 106 Milford St Suite 504B, Salisbury MD 21804-6953. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mahesh Moondra, Md, Pa can be contacted via phone (410) 546-5954, or through Moondra, Mahesh via phone (410) 546-5954.

Contact Information

Primary practice address
106 Milford St Suite 504B Salisbury MD 21804-6953
Phone: (410) 546-5954
Fax: (410) 219-3038
Website:
Map and Directions
Authorized official contact:
Name: Moondra, Mahesh Doctor of Medicine (MD)
Phone: (410) 546-5954

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D32014 Maryland

Profile Details

NPI number 1861499634
LBN Legal business name Mahesh Moondra, Md, Pa
DBA Doing business as
Authorized official Moondra, Mahesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 23rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861499634 NPPES
Other 0000875602 MADE
Other 843455 MADE
Other 21728011 MADE
Other 510427 MADE
Other 251300 MADE
Other 545418200 MADE
Other KA67MA MADE
Other 110140803 MADE
Other 32014 MADE
Other 30773 MADE
Other 000799857 MADE
Other 4393240 MADE
MEDICAID 545418200 MADE
Other 191308 MADE
Other E475 MADE

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