Individual
DR. SIDDHARTH MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6410 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7622
(352) 563-2450
Mailing address
6410 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7622
(352) 563-2450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003163
NY
207RG0100X
Gastroenterology Physician
Primary
ME112492
FL
Other
Enumeration date
07/24/2008
Last updated
02/18/2014
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