Sureshkumar Muttath, Llc | |
5711 Sarvis Ave Suite 200 Riverdale MD 20737-1394 | |
(301) 277-8100 | |
(301) 277-0668 |
Full Name | Sureshkumar Muttath, Llc |
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Speciality | Internal Medicine |
Location | 5711 Sarvis Ave, Riverdale, Maryland |
Authorized Official Name and Position | Sureshkumar Muttath (DIRECTOR) |
Authorized Official Contact | 3012778100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sureshkumar Muttath, Llc 5711 Sarvis Ave Suite 200 Riverdale MD 20737-1394 Ph: (301) 277-8100 | Sureshkumar Muttath, Llc 5711 Sarvis Ave Suite 200 Riverdale MD 20737-1394 Ph: (301) 277-8100 |
NPI Number | 1144256439 |
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Provider Enumeration Date | 06/25/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0547459786 |
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Medicare Enrollment ID | O20110104000882 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144256439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0058290 (Maryland) | Primary |
Provider Name | Sureshkumar Muttath |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275599458 PECOS PAC ID: 4981666849 Enrollment ID: I20041102000906 |
Meridian Health And Behavioral Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6801 Kenilworth Ave Ste 300-s2, Riverdale, MD 20737 Phone: 240-687-2592 | |
Metropolitan Physicians Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6510 Kenilworth Ave, Suite 2200, Riverdale, MD 20737 Phone: 202-577-1360 Fax: 703-790-1775 | |
Capital Physicians Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6801 Kenilworth Ave, Suite 120, Riverdale, MD 20737 Phone: 410-318-6253 Fax: 410-358-6551 | |
United Medical Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4404 Queensbury Rd, #100, Riverdale, MD 20737 Phone: 301-779-1949 | |
Edge Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5305 Kenilworth Ave, Ste 100, Riverdale, MD 20737 Phone: 301-277-7110 | |
Kenilworth Internists, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6510 Kenilworth Ave, Suite 2400, Riverdale, MD 20737 Phone: 301-927-2711 Fax: 301-277-4834 |