Provider Demographics
NPI:1043937816
Name:MOHABIR, SOMNATH
Entity Type:Individual
Prefix:
First Name:SOMNATH
Middle Name:
Last Name:MOHABIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4014 PARKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1642
Mailing Address - Country:US
Mailing Address - Phone:240-579-3950
Mailing Address - Fax:
Practice Address - Street 1:4014 PARKWOOD ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1642
Practice Address - Country:US
Practice Address - Phone:240-579-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant