Mattu, Sejal G
Mattu, Sejal G is an sole proprietor health care provider with primary practice located at 2401 Brandermill Blvd Suite 220, Gambrills MD 21054-1690. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mattu, Sejal G can be contacted via phone (410) 451-7214.Contact Information
Primary practice address
2401 Brandermill Blvd Suite 220
Gambrills MD 21054-1690
Phone: (410) 451-7214
Fax: (410) 451-7218
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0052139 | Maryland |
Profile Details
NPI number | 1538152004 |
---|---|
LBN Legal business name | Mattu, Sejal G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2005 |
Last updated | Apr 26th, 2024 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538152004 | NPPES |
Other | 2167135 | AETNA HMO | |
Other | 74841805 | AETNA HMO | |
Other | 0001 | AETNA HMO | |
Other | 32483 | AETNA HMO | |
Other | 5504586 | AETNA HMO | |
MEDICAID | 942161102 | AETNA HMO | |
Other | 282075 | AETNA HMO | |
Other | 201233200 | AETNA HMO |
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