Individual
SATISH MATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-7000
(919) 350-8959
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 949-2869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200200139
NC
2085R0204X
Vascular & Interventional Radiology Physician
0101270750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901623
—
NC
Enumeration date
07/09/2006
Last updated
08/06/2024
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