Individual
AMITABH MOHAN MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 637-5711
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A067559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A675590
—
CA
Enumeration date
02/15/2006
Last updated
04/11/2024
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