Alan Ken Matsumoto
Rheumatology
2730 University Blvd W Suite 310
Wheaton
, Maryland 20902-1905
Alan Ken Matsumoto
Rheumatology
2730 University Blvd W Suite 310
Wheaton
, Maryland 20902-1905
(301) 942-3132
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Alan Ken Matsumoto
- 2730 University Blvd W Suite 310
- Wheaton, MD
- Zip : 20902-1905
- Fax : (301) 942-3132
- Phone : (301) 942-7600
Second Address
- Alan Ken Matsumoto
- 2730 University Blvd W Suite 310
- Wheaton, MD
- Zip : 20902-1905
- Fax : (301) 942-3132
- Phone : (301) 942-7600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | D0036867 | MD |
National Provider Identifier
| NPI | 1043219298 |
|---|---|
| Provider Name | Alan Ken Matsumoto |
| First Address | Wheaton, MD 20902-1905 |
| Second Address | Wheaton, MD 20902-1905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2005 |
| Last Update Date | 11/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0004482962 | AETNA (01) | |
| 0009 | CAREFIRST OF DC (01) | DC |
| 090361200 | (05) | MD |
| 103774 | FIRST HEALTH (01) | |
| 1847871 | UNITED HEALTHCARE (01) | |
| 21470 | PRIORITY PARTNERS (01) | |
| 397348 | ALLIANCE (01) | |
| 493058 | NCPPO (01) | |
| 52147007 | CAREFIRST OF MARYLAND (01) | MD |
| 7169832 | MAMSI (01) | |
| E62276 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.