Individual
SUSAN K MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3410 WORTH ST STE 250, DALLAS, TX 75246
(214) 820-6856
(214) 820-1417
Mailing address
12605 EAST 16TH AVENUE, UNIVERSITY OF COLORADO HOSPITAL, AURORA, CO 80045
(720) 848-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0052160
CO
207R00000X
Internal Medicine Physician
R5594
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DR.0052160
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
R5594
TX
207RP1001X
Pulmonary Disease Physician
DR.0052160
CO
207RP1001X
Pulmonary Disease Physician
Primary
R5594
TX
Other
Enumeration date
06/11/2009
Last updated
04/05/2022
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