# SOBHAN MATHEW MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477098523
- **Authorized official:** DR. SOBHAN MATHEW MD (OWNER)
- **Authorized official phone:** (301) 218-1456

## Contact information

- **Practice address:** 3048 MITCHELLVILLE RD, BOWIE, MD 20716-1388
- **Practice address phone:** (301) 218-1456
- **Practice address fax:** (301) 218-1462
- **Mailing address:** PO BOX 157, ASHTON, MD 20861-0157
- **Mailing address phone:** (301) 570-9700
- **Mailing address fax:** (301) 260-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D47604 | MD | Yes |

## Other

- **Enumeration date:** 12/28/2016
- **Last updated:** 12/28/2016