Individual
DR. MAHESH MOONDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 MILFORD ST, SUITE 504B, SALISBURY, MD 21804-6953
(410) 546-5954
(410) 219-3038
Mailing address
106 MILFORD ST, SUITE 504B, SALISBURY, MD 21804-6953
(410) 546-5954
(410) 219-3038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0032014
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
394811100
—
MD
Enumeration date
07/12/2006
Last updated
03/23/2020
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