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NPI Code Detail

MEDICARE: ANITA MOGHE PA-C

MEDICARE: ANITA MOGHE PA-C
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
1363AM0700XMedical Physician Assistant02041TX
2363AM0700XMedical Physician AssistantPA193360OR
3363A00000XPhysician Assistant0110007281VA

General Provider Information

NPI Number : 1548572589
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA MOGHE PA-C
Provider Business Mailing Address
First Line : 333 1ST ST STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94105-2661
Country : US
Telephone Number : 415-840-0560
Fax Number : 757-232-8875
Provider Business Practice Location Address
First Line : 2800 EISENHOWER AVE STE 220
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-4587
Country : US
Telephone Number : 415-840-0560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2010
Last Update Date : 03/13/2025

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Directions to “ ANITA MOGHE PA-C” Practice Location

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