Healthcare Provider Details

I. General information

NPI: 1881695351
Provider Name (Legal Business Name): MOHIT NARANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CROSSROADS DRIVE SUITE 340
OWING MILLS MD
21117
US

IV. Provider business mailing address

P.O. BOX 75581
BALTIMORE MD
21275
US

V. Phone/Fax

Practice location:
  • Phone: 410-581-2100
  • Fax: 410-581-2104
Mailing address:
  • Phone: 410-964-2212
  • Fax: 410-964-1111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberE3552
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD67468
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: