1891791935 NPI number — NALIN MATHUR MD PA

Table of content: NALIN MATHUR MD PA (NPI 1891791935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891791935 NPI number — NALIN MATHUR MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MATHUR
Provider First Name:
NALIN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891791935
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7436
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22307-0436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-638-2733
Provider Business Mailing Address Fax Number:
301-638-3377

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11855 HOLLY LANE
Provider Second Line Business Practice Location Address:
#107
Provider Business Practice Location Address City Name:
WALDORF
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20601-3114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-638-2733
Provider Business Practice Location Address Fax Number:
301-638-3377
Provider Enumeration Date:
06/23/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  D52289 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)