Mathai, Prem

Mathai, Prem is an individual health care provider with primary practice located at 200 Medical Center Dr Ste 325, Middletown OH 45005-5200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mathai, Prem can be contacted via phone (513) 705-4762.

Contact Information

Primary practice address
200 Medical Center Dr Ste 325 Middletown OH 45005-5200
Fax: (513) 705-4706
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.125013 Ohio

Profile Details

NPI number 1518192780
LBN Legal business name Mathai, Prem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated Jul 30th, 2015 - about 10 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518192780 NPPES
Ohio MEDICAID 0112828

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