Individual
SOBHAN A MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3048 MITCHELLVILLE RD, BOWIE, MD 20716-1388
(301) 218-1456
(301) 218-1462
Mailing address
PO BOX 157, ASHTON, MD 20861-0157
(301) 570-4280
(301) 260-2838
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D47604
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847175400
—
MD
Enumeration date
06/09/2006
Last updated
02/09/2018
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