Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | D0083868 | MD |
Y | 2081P2900X | Pain Medicine | MD465922 | PA |
NPI | 1134495153 |
---|---|
Provider Name | Dr. Rajat Mathur |
First Address | York, PA 17402-4661 |
Second Address | York, PA 17402-4661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 28/12/2018 |