Individual
DR. MAMATHA SWETHADRI ANANTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
6304 MELLOW TWILIGHT CT, COLUMBIA, MD 21044-4911
(410) 531-9514
Mailing address
6304 MELLOW TWILIGHT CT, COLUMBIA, MD 21044-4911
(410) 531-9514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0053439
MD
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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