NPIMap

Organization Active NPI

Krishan M Mathur MD

Doing business as Cambridge Oncology and Infusion Center

  • Hematology & Oncology Physician
  • Waldorf, MD
National Provider Identifier
1629277165
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
KRISHAN M MATHUR MD
Doing business as
Cambridge Oncology and Infusion Center
Practice address
3500 Old Washington Rd
Suite 102
Waldorf, MD 20602-3224
Phone
(301) 645-4242
Fax
(301) 705-7512
NPI assigned
Jul 14, 2007
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. Krishan M Mathur, MDNPI 1326082884
Title
Owner
Phone
(301) 645-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

3500 Old Washington Rd
Suite 102
Waldorf, MD 20602-3224

Mailing address

PO Box 2729
La Plata, MD 20646-2729
Phone (301) 645-4242

Other identifiers 2

IdentifierTypeStateIssuer
9424OtherDCCAREFIRST BC BS
5937KMOtherMDCAREFIRST BC BS

Other names 1

  • Cambridge Oncology and Infusion Center Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1629277165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2729",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462729",
            "telephone_number": "301-645-4242",
            "fax_number": "301-705-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OLD WASHINGTON RD",
            "address_2": "SUITE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023224",
            "telephone_number": "301-645-4242",
            "fax_number": "301-705-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISHAN M MATHUR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-14",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "KRISHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-645-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "9424",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "5937KM",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambridge Oncology and Infusion Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.