Individual
DR. MEGHAN SARAN MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(949) 463-2182
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(949) 463-2182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A167180
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
10/09/2020
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