Individual
MAHAN MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 PERRYRIDGE RD, MEDICAL EDUCATION, GREENWICH, CT 06830-4608
(203) 863-3409
(203) 863-3924
Mailing address
5 PERRYRIDGE RD, MEDICAL EDUCATION, GREENWICH, CT 06830-4608
(203) 863-3409
(203) 863-3924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
250284
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2007
Last updated
04/11/2013
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