Tanya Mogla M.D.

NPI 1205241213 - Family Medicine - 207Q00000X

NPI Details
NPI 1205241213
Gender Female
Enumeration Date 06/27/2014
Last Updated 04/23/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
461 W. HURON
STE 107
PONTIAC MI, 48341, US
Phone (248) 724-7413
Fax (248) 724-7447
Business Location
P.O BOX 430150
PONTIAC MI, 48343, US
Phone (248) 724-7413
Fax (248) 724-7447
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301105412
Remove 1205241213 NPI Number
 

According to our database, Ms. Tanya Mogla M.D. NPI is 1205241213, taxonomy code is 207Q00000X and license number is 4301105412, license state is located at Michigan. Tanya Mogla M.D. physically located at 461 W. Huron, Pontiac MI, 48341. NPI Number Tanya Mogla M.D. has the Individual type.

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1205241213 NPI number is provided on an as is basis without warranty of any kind. 1205241213 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya Mogla M.D. are for informational purposes only.