Mathur, Shailendra
Mathur, Shailendra is an individual health care provider with primary practice located at 9876 Queens Blvd Suite 1K, Rego Park NY 11374-4356. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mathur, Shailendra can be contacted via phone (718) 897-0300.Contact Information
Primary practice address
9876 Queens Blvd Suite 1K
Rego Park NY 11374-4356
Phone: (718) 897-0300
Fax: (718) 897-3330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N005757 | New York |
Profile Details
| NPI number | 1124048376 |
|---|---|
| LBN Legal business name | Mathur, Shailendra |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Mar 18th, 2008 - about 16 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 | 1124048376 | NPPES |
| New York | MEDICAID | 02386414 |
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