John, Roy Mattathu

John, Roy Mattathu is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. John, Roy Mattathu can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C172396 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X C172396 California
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X C172396 California

Profile Details

NPI number 1417993528
LBN Legal business name John, Roy Mattathu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 22nd, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417993528 NPPES
Tennessee MEDICAID Q029370

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