| Mahesh Moondra, Md, Pa | |
|
106 Milford St Suite 504b Salisbury MD 21804-6953 | |
| (410) 546-5954 | |
| (410) 219-3038 |
| Full Name | Mahesh Moondra, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 Milford St, Salisbury, Maryland |
| Authorized Official Name and Position | Mahesh Moondra (OWNER) |
| Authorized Official Contact | 4105465954 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahesh Moondra, Md, Pa 106 Milford St Suite 504b Salisbury MD 21804-6953 Ph: (410) 546-5954 | Mahesh Moondra, Md, Pa 106 Milford St Suite 504b Salisbury MD 21804-6953 Ph: (410) 546-5954 |
| NPI Number | 1861499634 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 03/23/2020 |
| Medicare PECOS PAC ID | 6901887470 |
|---|---|
| Medicare Enrollment ID | O20040528001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861499634 | NPI | - | NPPES |
| 0000875602 | Other | MADE | |
| 843455 | Other | MAMS | |
| 21728011 | Other | UHC | |
| 510427 | Other | USHC | |
| 251300 | Other | BSVA | |
| 545418200 | Other | MAMD | |
| KA67MA | Other | BSMD | |
| 110140803 | Other | MBRR | |
| 32014 | Other | DHP | |
| 30773 | Other | PP | |
| 000799857 | Other | AMERIHEALTH | |
| 4393240 | Other | AETN | |
| 545418200 | Medicaid | MD | |
| 191308 | Other | AMERIGROUP | |
| E475 | Other | BSDC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D32014 (Maryland) | Primary |
| Provider Name | Babulal Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427055250 PECOS PAC ID: 3870574346 Enrollment ID: I20040528001248 |
| Provider Name | Mahesh Moondra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912932237 PECOS PAC ID: 5193759736 Enrollment ID: I20050922000649 |
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