Provider Demographics
NPI:1881695351
Name:NARANG, MOHIT (MD)
Entity type:Individual
Prefix:
First Name:MOHIT
Middle Name:
Last Name:NARANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 75581
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275
Mailing Address - Country:US
Mailing Address - Phone:410-964-2212
Mailing Address - Fax:410-964-1111
Practice Address - Street 1:23 CROSSROADS DRIVE
Practice Address - Street 2:SUITE 340
Practice Address - City:OWING MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-581-2100
Practice Address - Fax:410-581-2104
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE3552174400000X
MDD67468207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR150246001Medicaid
MD017735100Medicaid
PA1021963770001Medicaid
MD017735100Medicaid
PA124297YE3LMedicare PIN
MD126626YZBWMedicare PIN
PA1021963770001Medicaid
AR150246001Medicaid