| Doctor Name: | DR. MAMMEN PUTHENVEETIL MAMMEN |
| NPI Number: | 1598829426 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD051579L |
| Business Practice Address: | 2480 Llewellyn Ave Kimbrough Ambulatory Care Center Fort George G Meade, MD - 207555800 |
| Business Phone Number: | 3016192069 |
| Business Fax Number: | 3016192304 |
| Mailing Address: | 2480 Llewellyn Ave, Kimbrough Ambulatory Care Center FORT GEORGE G MEADE |
| State: | MD |
| Postal Code: | 207555800 |
| Phone Number: | 3016192069 |
| Fax Number: | 3016192304 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RI0200X |
| License Number: | MD051579L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Infectious Disease |
| Taxonomy Definition: | An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |