Manoj Mathur MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0061947 Issued in MD

Legal business name

MANOJ MATHUR MD PA

Practice address

110 Hospital Rd
Suite 305
Prince Frederick, MD 20678

Phone

(410) 535-1451

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Manoj Mathur, M.D.NPI 1992730568

Title

Owner

Phone

(410) 535-1451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Manoj Mathur, MD

  • Internal Medicine Physician
  • Huntingtown, MD
  • NPI 1992730568

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1801980222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 209",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 305",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "20678",
            "telephone_number": "410-535-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOJ MATHUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-535-1451",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0061947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori E. Maddox, P.A.-C.
• Upendra Mahat, MD
• Aparajita K Mahata, MD F.A.C.O.G.
• Carolina Maman-Applewhite, MD
• Christiana Deane Mankey, RBT
• Kanwal Mansur, MS, CNS, LDN, MBBS
• Sydney Lynn Marinelli, PA-C
• Victoria M Marino, CRNA
• Cameron Leann Marks, CAC-ADP
• Barbra Jennifer Martin-Klinikowski, BA,CAC-AD

• Internal Medicine Physician in Prince Frederick, MD
• Providers in Prince Frederick, 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 Mar 3, 2008; 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.