Provider Demographics
NPI:1003969668
Name:VIRMANI, MOHIT KUMAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOHIT
Middle Name:KUMAR
Last Name:VIRMANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 OLD COURT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2847
Mailing Address - Country:US
Mailing Address - Phone:410-484-2722
Mailing Address - Fax:410-484-2794
Practice Address - Street 1:4000 OLD COURT RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-2847
Practice Address - Country:US
Practice Address - Phone:410-484-2722
Practice Address - Fax:410-484-2794
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice