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Individual
SUSAN VIJAYAN MATHEW
Active
Individual
SUSAN VIJAYAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.146950
IL
207R00000X
Internal Medicine Physician
S3021
TX
208M00000X
Hospitalist Physician
036.146950
IL
208M00000X
Hospitalist Physician
Primary
S3021
TX
Other
Enumeration date
03/20/2015
Last updated
03/18/2022
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