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
Fax: (410) 451-7218
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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