Mathur, Mudit
Mathur, Mudit is an individual health care provider with primary practice located at 11370 Anderson St Ste B-100, Loma Linda CA 92354-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Mathur, Mudit can be contacted via phone (909) 558-2848.Contact Information
Primary practice address
11370 Anderson St Ste B-100
Loma Linda CA 92354-3450
Phone: (909) 558-2848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C51545 | California |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | C51545 | California |
Profile Details
| NPI number | 1710900402 |
|---|---|
| LBN Legal business name | Mathur, Mudit |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Nov 29th, 2021 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710900402 | NPPES |
| California | MEDICAID | 00C515450 |
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