Search › Maryland › 207RC0000X
Kallukalam Mathew, M.D
NPI 1720033392 · on the registry since 2006
Practice
- Address
- 6504 Kenilworth Ave
Suite 200
Riverdale, MD 20737 - Phone
- (301) 927-8011
- Fax
- (301) 699-1584
- Organisation at this address
- Riverdale Radiology, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland