Provider Demographics
NPI:1992887335
Name:MOHI-UD-DIN, RAJA MUNIR (MD)
Entity type:Individual
Prefix:DR
First Name:RAJA
Middle Name:MUNIR
Last Name:MOHI-UD-DIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RAJA
Other - Middle Name:M
Other - Last Name:DIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7500 HANOVER PKWY
Mailing Address - Street 2:#101A
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2010
Mailing Address - Country:US
Mailing Address - Phone:301-715-3744
Mailing Address - Fax:301-477-3525
Practice Address - Street 1:7501 GREENWAY CENTER DR
Practice Address - Street 2:STE 620
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-6702
Practice Address - Country:US
Practice Address - Phone:301-715-3744
Practice Address - Fax:301-477-3525
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058864207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD409626600Medicaid
MD409626600Medicaid
MDI08823Medicare UPIN