Organization · NPI-2

A.Mathivannan PC

Internal Medicine · Washington, DC

NPI number1083894497
StatusActive
Last updated in NPPESNov 14, 2007

Details

NPI
1083894497
Entity type
Organization (NPI-2)
Legal business name
A.Mathivannan PC
Organization subpart
No
Enumeration date
Nov 14, 2007
Last updated
Nov 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineMD31203DCYes

Practice location

106 Irving St Nw # South406
Washington, DC 20010-2927

Phone 202-877-0535

Mailing address

7511 Leesburg Pl
Bethesda, MD 20817-5608

Phone 202-877-0535

Authorized official

Matty Mathivannan
President
2028770535

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