Provider Demographics
NPI:1962468868
Name:MATHEWS, RASHIKA S (MD)
Entity Type:Individual
Prefix:
First Name:RASHIKA
Middle Name:S
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1611 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-4302
Mailing Address - Country:US
Mailing Address - Phone:617-661-5100
Mailing Address - Fax:617-661-5136
Practice Address - Street 1:1611 CAMBRIDGE ST
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4302
Practice Address - Country:US
Practice Address - Phone:617-661-5100
Practice Address - Fax:617-661-5136
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA159003207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0116840Medicaid
MAA31884Medicare PIN
MAH28939Medicare UPIN