| Mukesh N Mathur,md,pa. | |
|
110 Hospital Rd Suite-305 Prince Frederick MD 20678-4019 | |
| (410) 535-1451 | |
| (410) 535-9620 |
| Full Name | Mukesh N Mathur,md,pa. |
|---|---|
| Speciality | Internal Medicine |
| Location | 110 Hospital Rd, Prince Frederick, Maryland |
| Authorized Official Name and Position | Mukesh N Mathur (OWNER) |
| Authorized Official Contact | 4105351451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mukesh N Mathur,md,pa. 110 Hospital Rd Suite-305 Prince Frederick MD 20678-4019 Ph: (410) 535-1451 | Mukesh N Mathur,md,pa. 110 Hospital Rd Suite-305 Prince Frederick MD 20678-4019 Ph: (410) 535-1451 |
| NPI Number | 1528361987 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 7012196330 |
|---|---|
| Medicare Enrollment ID | O20110119000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528361987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D-0025435 (Maryland) | Primary |
| Provider Name | Mukesh Narain Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295769834 PECOS PAC ID: 4789870312 Enrollment ID: I20101122001127 |
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