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Individual
MALI MATHRU
Active
Individual
MALI MATHRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L2559
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009961585
—
AL
05
—
009961595
—
AL
05
—
009961905
—
AL
01
—
010033CD52656
SECTION 1011
AL
01
—
051523013
BLUE CROSS
AL
01
—
051523014
BLUE CROSS
AL
01
—
051523015
BLUE CROSS
AL
01
—
07105733
MISSISSIPPI MEDICAID
MS
01
—
P00821348
RAILROAD MEDICARE
AL
Enumeration date
07/04/2006
Last updated
07/12/2011
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