Organization
DIABETIC EYE & MACULAR DISEASE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEEVAN MATHURA JR. MD (SOLE OWNER)
(202) 506-3479
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, SUITE 208, WASHINGTON, DC 20017-2107
(202) 399-1616
(866) 265-5635
Mailing address
1160 VARNUM ST NE, SUITE 208, WASHINGTON, DC 20017-2107
(202) 399-1616
(866) 265-5635
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/04/2015
Last updated
12/06/2024
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