Kandathil, Mathew K
Kandathil, Mathew K is an individual health care provider with primary practice located at 91550 Overseas Hwy Ste 205 , Tavernier FL 33070-2513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Kandathil, Mathew K can be contacted via phone (305) 434-3400.Contact Information
Primary practice address
91550 Overseas Hwy Ste 205
Tavernier FL 33070-2513
Phone: (305) 434-3400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40740 | New Jersey |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME139797 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 40612 | Massachusetts |
Profile Details
| NPI number | 1346232097 |
|---|---|
| LBN Legal business name | Kandathil, Mathew K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Apr 8th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346232097 | NPPES |
| New Jersey | MEDICAID | 3533409 |
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