Sejal G. Mattu MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEJAL G. MATTU MD PA

Practice address

2401 Brandermill Blvd
Suite 220
Gambrills, MD 21054-1690

Phone

(410) 451-7214

Fax

(410) 451-7218

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sejal G Mattu, MD

Title

Physician Owner

Phone

(410) 451-7214

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1497725741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD. SUITE 220",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541692",
            "telephone_number": "410-451-7214",
            "fax_number": "410-451-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BRANDERMILL BLVD",
            "address_2": "SUITE 220",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541690",
            "telephone_number": "410-451-7214",
            "fax_number": "410-451-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEJAL G. MATTU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "MATTU",
        "authorized_official_first_name": "SEJAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "410-451-7214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0M96SG",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Sapienza, DDS
• Jenna Nicole Schiller, PA-C
• Donald Richard Schneider, MD
• Howard Kenneth Schultz Jr., MD
• Sweena Seekri, PH.D.
• Serenity Golden Home Inc
• Maureen Elizabeth Sevec, OTR/L
• Ian M Shantz, MD
• Heather Shipley, MSOT, OTR/L
• Seema Siddiqui, D.D.S.

• Internal Medicine Physician in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.