NPIMap

Organization Active NPI

Sobhan Mathew MD

  • Internal Medicine Physician
  • Bowie, MD
National Provider Identifier
1477098523
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D47604 Issued in MD
Legal business name
SOBHAN MATHEW MD
Practice address
3048 Mitchellville Rd
Bowie, MD 20716-1388
Phone
(301) 218-1456
Fax
(301) 218-1462
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Dr. Sobhan Mathew, MDNPI 1063453074
Title
Owner
Phone
(301) 218-1456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D47604 MD Primary

Addresses

Primary practice location

3048 Mitchellville Rd
Bowie, MD 20716-1388

Mailing address

PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-9700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1477098523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 MITCHELLVILLE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161388",
            "telephone_number": "301-218-1456",
            "fax_number": "301-218-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBHAN MATHEW MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "SOBHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-218-1456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D47604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.