Individual
GEETA V MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER, RESTON, VA 20190-3219
(703) 689-9037
(703) 689-9109
Mailing address
1300 PICCARD DR, SUITE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101230968
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101230968
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005867576
—
VA
Enumeration date
11/21/2005
Last updated
04/26/2010
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