Organization
MAIDEN CHOICE CARDIAC DIAGNOSTIC CENTER
Active
Other names
St. Agnes Cardiac Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOON MOGHBELI MD (MD)
(410) 455-0200
Entity
Organization
Contact information
Practice address
724 MAIDEN CHOICE LN, SUITE 203, BALTIMORE, MD 21228-5911
(410) 455-0200
(410) 455-0009
Mailing address
724 MAIDEN CHOICE LN, SUITE 203, BALTIMORE, MD 21228-5911
(410) 455-0200
(410) 455-0009
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174680400
—
MD
Enumeration date
05/08/2006
Last updated
08/18/2009
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