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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710900402 NPPES
California MEDICAID 00C515450

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