Individual
DR. RENUKA TIRUPASUR MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6104 OLD BRANCH AVENUE, TEMPLE HILLS, MD 20748
(301) 702-6100
(301) 702-6366
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE, PPQA, 6 WEST, ROCKVILLE, MD 20852
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0056221
MD
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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