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NPI Code Detail

MEDICARE: DR. USMAN MOGHAL M.D.

MEDICARE: DR. USMAN MOGHAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianD0077090MD

General Provider Information

NPI Number : 1417269754
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. USMAN MOGHAL M.D.
Provider Business Mailing Address
First Line : 210 CHESAPEAKE BLVD
Second Line :
City : ELKTON
State : MD
Zip : 21921-6395
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 137 W HIGH ST
Second Line : STE 2A
City : ELKTON
State : MD
Zip : 21921-8600
Country : US
Telephone Number : 410-398-2436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 06/23/2014

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Directions to “ DR. USMAN MOGHAL M.D.” Practice Location

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