Individual
DR. MANOJ MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9800 SAVAGE RD, FORT GEORGE G MEADE, MD 20755-5999
(443) 479-0353
Mailing address
11500 ALCINDA LN, NORTH POTOMAC, MD 20878-2427
(713) 530-8665
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
59999-20
WI
171000000X
Military Health Care Provider
D0105915
MD
207QB0505X
Diabetology (Internal Medicine) Physician
D0105915
MD
207R00000X
Internal Medicine Physician
5999-20
WI
207R00000X
Internal Medicine Physician
D0105915
MD
2083A0100X
Aerospace Medicine Physician
Primary
59999-20
WI
2083A0100X
Aerospace Medicine Physician
D0105915
MD
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
59999-20
WI
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
D0105915
MD
208D00000X
General Practice Physician
D0105915
MD
261QP2300X
Primary Care Clinic/Center
59999-20
WI
Other
Enumeration date
06/13/2011
Last updated
04/29/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us