Sathananthan, Matheni
Sathananthan, Matheni is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Sathananthan, Matheni can be contacted via phone (909) 558-4909.Contact Information
Primary practice address
11234 Anderson St
Loma Linda CA 92354-2804
Phone: (909) 558-4909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 104294 | Minnesota |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 52362 | Minnesota |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | A142863 | California |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036130494 | Illinois |
Profile Details
| NPI number | 1467698001 |
|---|---|
| LBN Legal business name | Sathananthan, Matheni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2009 |
| Last updated | Mar 2nd, 2020 - about 5 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 | 1467698001 | NPPES |
| Illinois | Other | 206147142 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | P01144137 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | MEDICAID | 036130494 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | MEDICAID | ENROLLED | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | P00739716 | MEDICARE PTAN (INDIVIDUAL) |
| Illinois | Other | 206147 | MEDICARE PTAN (INDIVIDUAL) |
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