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Physician Compare National (NPI:1619979002)

HEALTHCARE PROVIDER: AJAY K MATHUR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1619979002
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426240540
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101007001139
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MATHUR
Individual professional last name
Provider First Name AJAY
Individual professional first name
Provider Middle Name K
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty RHEUMATOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1029 COUNTRY CLUB RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 203
Group Practice or individual's line 2 address
City MONOGAHELA
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 150631564
Group Practice or individual's zip code (9 digits when available)
Phone Number 7242589680
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 390147
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 MONONGAHELA VALLEY HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 390041
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 UNIONTOWN HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 390157
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 OHIO VALLEY GENERAL HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 390042
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 WASHINGTON HOSPITAL, THE
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 390228
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 ST CLAIR HOSPITAL
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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