# MUKESH N MATHUR,MD,PA.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1528361987
- **Authorized official:** MUKESH N MATHUR M.D. (OWNER)
- **Authorized official phone:** (410) 535-1451

## Contact information

- **Practice address:** 110 HOSPITAL RD, SUITE-305, PRINCE FREDERICK, MD 20678-4019
- **Practice address phone:** (410) 535-1451
- **Practice address fax:** (410) 535-9620
- **Mailing address:** 110 HOSPITAL RD, SUITE-305, PRINCE FREDERICK, MD 20678-4019
- **Mailing address phone:** (410) 535-1451
- **Mailing address fax:** (410) 535-9620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D-0025435 | MD | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/07/2010