MEDICARE: DR. MOFIKPARA AUREOLUS WRIGHT MD

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
1	207R00000X	Internal Medicine Physician	D0050821	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851348742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOFIKPARA AUREOLUS WRIGHT MD

Provider Business Mailing Address
First Line	:	12617 SHOAL CREEK TER
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-1080
Country	:	US
Telephone Number	:	202-236-2309
Fax Number	:	301-576-3826

Provider Business Practice Location Address
First Line	:	6201 GREENBELT RD
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2354
Country	:	US
Telephone Number	:	301-486-4587
Fax Number	:	301-486-4558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	03/21/2017

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