Individual
JANCY KAROOR MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6000
Mailing address
2150 PENNSYLVANIA AVE NW STE 8-416, WASHINGTON, DC 20037-3201
(202) 741-2233
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD046198
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417343344
—
GA
Enumeration date
04/07/2015
Last updated
05/07/2018
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