# MAHESH MOONDRA, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861499634
- **Authorized official:** MAHESH MOONDRA MD (OWNER)
- **Authorized official phone:** (410) 546-5954

## Contact information

- **Practice address:** 106 MILFORD ST, SUITE 504B, SALISBURY, MD 21804-6953
- **Practice address phone:** (410) 546-5954
- **Practice address fax:** (410) 219-3038
- **Mailing address:** 106 MILFORD ST, SUITE 504B, SALISBURY, MD 21804-6953
- **Mailing address phone:** (410) 546-5954
- **Mailing address fax:** (410) 219-3038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D32014 | MD | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 03/23/2020