Individual
ROY MATTATHU JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C172396
CA
207RC0000X
Cardiovascular Disease Physician
C172396
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
C172396
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029370
—
TN
Enumeration date
06/20/2006
Last updated
04/22/2024
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