# MAIDEN CHOICE NUCLEAR IMAGING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Agnes Nuclear Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528022480
- **Authorized official:** HOMAYOON MOGHBELI MD (PRESIDENT OF BOARD)
- **Authorized official phone:** (410) 747-3300

## Contact information

- **Practice address:** 724 MAIDEN CHOICE LN, SUITE 202, BALTIMORE, MD 21228-5911
- **Practice address phone:** (410) 747-3300
- **Practice address fax:** (410) 455-0009
- **Mailing address:** 724 MAIDEN CHOICE LN, SUITE 202, BALTIMORE, MD 21228-5911
- **Mailing address phone:** (410) 747-3300
- **Mailing address fax:** (410) 455-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | MD0512101 | MD | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 07/28/2009