Individual
DR. PURAN PRASAD MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 RESEARCH BLVD STE 350, ROCKVILLE, MD 20850-6211
(301) 424-8317
(301) 330-6985
Mailing address
11520 SWAINS LOCK TER, POTOMAC, MD 20854-1200
(301) 765-9003
(301) 765-9003
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D35941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202381400
—
MD
Enumeration date
01/25/2007
Last updated
07/10/2008
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