Individual
MARIAM MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7501 GREENWAY CENTER DR # 300, GREENBELT, MD 20770-3514
(301) 474-4679
(301) 474-7182
Mailing address
7501 GREENWAY CENTER DR # 300, GREENBELT, MD 20770-3514
(301) 474-4679
(301) 474-7182
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
0101268948
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
D0089331
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD048093
DC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/22/2016
Last updated
04/24/2020
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