MAIDEN CHOICE NUCLEAR IMAGING CENTER NPI 1528022480

NPI Information

  • NPI: 1528022480
  • Provider Name: MAIDEN CHOICE NUCLEAR IMAGING CENTER
  • Classification: Radiology - 2085N0904X
  • Specialization: Nuclear Radiology
  • Entity Type: Organization
  • Former Legal Business Name: ST AGNES NUCLEAR IMAGING
  • Address: 724 MAIDEN CHOICE LN
    SUITE 202
    BALTIMORE, MD
    ZIP 21228
  • Phone: (410) 747-3300

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NPI Details

MAIDEN CHOICE NUCLEAR IMAGING CENTER is a nuclear radiology radiology in Baltimore, MD. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. MAIDEN CHOICE NUCLEAR IMAGING CENTER NPI is 1528022480. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is St Agnes Nuclear Imaging.

The provider's business location address is:

724 MAIDEN CHOICE LN
SUITE 202
BALTIMORE, MD
ZIP 21228-911
Phone: (410) 747-3300
Fax: (410) 455-0009

The provider's authorized official is Homayoon Moghbeli .
The authorized official title is President Of Board and has the following contact phone number (410) 747-3300.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 7/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0904XRadiologyNuclear RadiologyMD0512101MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1115LMEDICARE ID-TYPE UNSPECIFIED
2265080100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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