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Individual

MARY MATHAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2200
Mailing address
1340 POYDRAS ST, SUITE 1640, NEW ORLEANS, LA 70112-1221
(504) 412-1835

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
06484R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03352500
MS
05
1343170
LA
Enumeration date
07/25/2006
Last updated
10/29/2008
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