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Organization

CAPITAL INTERNAL MEDICINE & GERIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAJ MATHUR (MD)
(301) 520-4318
Entity
Organization

Contact information

Practice address
106 IRVING ST NW STE 211, WASHINGTON, DC 20010-2993
(202) 722-0149
Mailing address
10218 YEARLING DR, ROCKVILLE, MD 20850-3548

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101240111
VA
207R00000X
Internal Medicine Physician
D0065086
MD
207R00000X
Internal Medicine Physician
MD036400
DC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101054105
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0042403
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD19927
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010371400
DC
05
405924700
MD
Enumeration date
02/08/2018
Last updated
08/11/2021
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