Individual
DR. SHAILENDRA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9876 QUEENS BLVD, SUITE 1K, REGO PARK, NY 11374-4356
(718) 897-0300
(718) 897-3330
Mailing address
16015 77TH AVE, FRESH MEADOWS, NY 11366-1019
(718) 926-2615
(718) 969-0403
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386414
—
NY
Enumeration date
07/20/2006
Last updated
03/18/2008
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