Organization
RAJ P MATHUR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ PRATAP MATHUR M.D. (OWNER)
(202) 722-0149
Entity
Organization
Contact information
Practice address
106 IRVING ST NW STE 211, WASHINGTON, DC 20010-2993
(202) 722-0149
Mailing address
10218 YEARLING DR, ROCKVILLE, MD 20850-3548
(202) 722-0149
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
0101054105
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0042403
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD19927
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02609305
—
MI
05
—
035661300
—
DC
01
—
0M16RA
CAREFIRST MD
MD
05
—
405924700
—
MD
01
—
4084
CAREFIRST DC
—
01
—
DA9982
MEDICARE RAILROAD
—
Enumeration date
01/10/2007
Last updated
08/11/2021
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