Provider Demographics
NPI:1407802796
Name:MATHUR, RITESH ANJANI (MD)
Entity Type:Individual
Prefix:
First Name:RITESH
Middle Name:ANJANI
Last Name:MATHUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 16147
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-6147
Mailing Address - Country:US
Mailing Address - Phone:832-532-7756
Mailing Address - Fax:832-532-7757
Practice Address - Street 1:4780 SWEETWATER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3162
Practice Address - Country:US
Practice Address - Phone:832-532-7756
Practice Address - Fax:832-532-7757
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3315207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology