Mathew J Ulahannan MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

170995 1 Issued in NY

Legal business name

MATHEW J ULAHANNAN MD PC

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 735-6141

Fax

(315) 735-4391

NPI assigned

Mar 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mathew J Ulahannan, M DNPI 1093767956

Title

Physician

Phone

(315) 735-6141

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathew Joseph Ulahannan, M.D.

  • Internal Medicine Physician
  • Utica, NY
  • NPI 1093767956
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204329600000",
    "number": "1366612723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-735-6141",
            "fax_number": "315-735-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-735-6141",
            "fax_number": "315-735-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEW J ULAHANNAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-03-01",
        "status": "A",
        "authorized_official_last_name": "ULAHANNAN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-735-6141",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170995 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamie Marie Mason
• Masonic Medical Research Laboratory
• Hamza Masood, MD
• Cassie Renee Massicotte, PA-C
• Lauren Mastrangelo, LCSW
• Priya M Mathew, RD
• Kevin Mathews, MD
• Baylee Matt
• Lisa Ann Matteson, OT
• Cynthia Jill Matthews-Malhiwsky, RN

• Internal Medicine Physician in Utica, NY
• Providers in Utica, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.