| Parijat Mathur, MD | |
|
205 N East Ave, Jackson, MI 49201-1753 | |
| (517) 788-4800 | |
| (517) 817-7050 |
| Full Name | Parijat Mathur |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 205 N East Ave, Jackson, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376926378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | MD16951 (Rhode Island) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4301108272 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Physician Group Inc | 2567455082 | 669 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121029000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Parijat Mathur, MD 117 Ellenfiled Street, Suite 101, Providence, RI 02905-4513 Ph: (401) 444-6779 | Parijat Mathur, MD 205 N East Ave, Jackson, MI 49201-1753 Ph: (517) 788-4800 |
Dr. Justin Alvarez Holmes, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 361-425-7681 | |
Chidamber Bharath Alamelumangapuram, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 North East Ave, Hospitalist Office, Jackson, MI 49201 Phone: 517-205-1328 Fax: 517-205-1330 |