Individual
ABHAY R MOGHEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 550-8703
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227
(410) 955-9441
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D59604
MD
2084N0600X
Clinical Neurophysiology Physician
Primary
D59604
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998800
—
MD
Enumeration date
05/11/2006
Last updated
02/13/2013
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