Dr. Mahjoobah Ghulam
Student in an Organized Health Care Education/Training Program in Moreno Valley, CA. Individual provider (NPI-1).
Details
- NPI
- 1235623976
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mahjoobah Ghulam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2018
- Last updated
- Jun 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - ANESTHESIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
26520 Cactus AveMoreno Valley, CA 92555-3927
Phone 951-486-4753
Mailing address
26520 Cactus AveMoreno Valley, CA 92555-3927
Phone 951-486-4753
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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