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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1124048376 NPPES
New York MEDICAID 02386414

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