Basic Information
Provider Information
NPI: 1790729622
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAGAT
FirstName: AARON
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8110 MAPLE LAWN BLVD
Address2: STE 235
City: FULTON
State: MD
PostalCode: 207592693
CountryCode: US
TelephoneNumber: 3013408339
FaxNumber: 3013409027
Practice Location
Address1: 23 CROSSROADS DR
Address2: STE 200
City: OWINGS MILLS
State: MD
PostalCode: 211175420
CountryCode: US
TelephoneNumber: 4109029500
FaxNumber: 4109029506
Other Information
ProviderEnumerationDate: 06/14/2006
LastUpdateDate: 03/31/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/31/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD39167MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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