Puran P Mathur, M.D., PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

D35941 Issued in MD

Legal business name

PURAN P MATHUR, M.D., PC

Practice address

2401 Research Blvd
Suite 350
Rockville, MD 20850-3215

Phone

(301) 330-6985

Fax

(301) 330-6984

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Tina Aloysius

Title

Manager

Phone

(301) 258-1904

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Puran Prasad Mathur, M.D.

  • Infectious Disease Physician
  • Rockville, MD
  • NPI 1578619375

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1730459264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 SWAINS LOCK TER",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541200",
            "telephone_number": "301-343-7089",
            "fax_number": "301-765-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-330-6985",
            "fax_number": "301-330-6984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURAN P MATHUR, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "ALOYSIUS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "301-258-1904",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D35941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202381400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pulling Down the Moon
• Emily Pung, DNP
• Yung-Hao Howard Pung, M.D.
• Caleb Nene Ade Puplampu
• Greisy Pupo
• Sonal Purekar, PTA
• Shamyia Purham
• Vashti Purnell- Cropper
• Ilasia Purnell
• Jailah Purnell

• Infectious Disease Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Infectious Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.