MEDICARE: DR. VARKEY MATHEW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	D0045435	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	516P	OTHER	MD	GROUP MEDICARE MD NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245211481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VARKEY MATHEW MD

Provider Business Mailing Address
First Line	:	3995 OLD TOWN RD
Second Line	:	SUITE 101
City	:	HUNTINGTOWN
State	:	MD
Zip	:	20639-9407
Country	:	US
Telephone Number	:	410-535-3612
Fax Number	:	410-535-3613

Provider Business Practice Location Address
First Line	:	3995 OLD TOWN RD
Second Line	:	SUITE 101
City	:	HUNTINGTOWN
State	:	MD
Zip	:	20639-3039
Country	:	US
Telephone Number	:	410-535-3612
Fax Number	:	410-535-3613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	12/30/2015

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Directions to “ DR. VARKEY MATHEW MD” Practice Location

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