A.Mathivannan PC
Organization Active NPI Internal Medicine Physician · Washington, DC
NPI 1083894497 · NPPES record last updated Nov 14, 2007
Key facts
- NPI
- 1083894497
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD31203 (DC)
- Legal business name
- A.MATHIVANNAN PC
- Practice address
- 106 Irving St NW # South406
Washington, DC 20010-2927 - Phone
- (202) 877-0535
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Matty Mathivannan
- Title
- President
- Phone
- (202) 877-0535
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD31203 | DC | Yes |
Addresses
Primary practice location
106 Irving St NW # South406
Washington, DC 20010-2927
Mailing address
7511 Leesburg PL
Bethesda, MD 20817-5608
Phone (202) 877-0535
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.