Organization
A.MATHIVANNAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTY MATHIVANNAN (PRESIDENT)
(202) 877-0535
Entity
Organization
Contact information
Practice address
106 IRVING ST NW # SOUTH406, WASHINGTON, DC 20010-2927
(202) 877-0535
Mailing address
7511 LEESBURG PL, BETHESDA, MD 20817-5608
(202) 877-0535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD31203
DC
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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