# ASHISH MATHUR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245329663
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24117 | OK | — |
| 207Q00000X | Family Medicine Physician | E5401 | AR | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 165673001 | — | AR |
| 05 | — | 200096500B | — | OK |
| 01 | — | 5N971 | BCBS OF ARKANSAS | AR |
| 01 | — | P00620016 | MEDICARE RAILROAD ARKANSAS | AR |