Individual
DR. RAJ PRATAP MATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
(240) 252-4008
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
—
010371400
—
DC
01
—
0402333
UNITED HEALTHCARE
—
05
—
090902501
—
MD
01
—
2241948
AETNA DC
DC
01
—
40840001
BCBS
DC
01
—
522004721
ALLIANCE PPO
—
01
—
54357601
BCBS
MD
01
—
68766
AMERIGROUP
—
01
—
7133432
AETNA PPO
—
01
—
865068
MDIPA
—
Enumeration date
12/06/2006
Last updated
03/07/2023
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