Organization
PURAN P MATHUR, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA ALOYSIUS (MANAGER)
(301) 258-1904
Entity
Organization
Contact information
Practice address
2401 RESEARCH BLVD, SUITE 350, ROCKVILLE, MD 20850-3215
(301) 330-6985
(301) 330-6984
Mailing address
11520 SWAINS LOCK TER, POTOMAC, MD 20854-1200
(301) 343-7089
(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
12/30/2011
Last updated
12/30/2011
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