Individual
AJAY MOGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 946-4233
Mailing address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 946-4233
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A159872
CA
Other
Enumeration date
07/07/2016
Last updated
08/22/2019
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