Individual provider · Type 1 NPI

Balaphanidhar Mogga, MD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1265176200 Active

Practice location

2800 Main Street, Dept Of Medicine
Bridgeport, CT 06606

Call (475) 210-5425 Map

Fax (475) 210-5022

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265176200

Balaphanidhar Mogga, MD's National Provider Identifier is 1265176200, issued on Apr 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Feb 9, 2023.