Mathew, Biju Benny

Mathew, Biju Benny is an individual health care provider with primary practice located at 6913 Camp Bowie Blvd Ste 171 , Fort Worth TX 76116-7165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mathew, Biju Benny can be contacted via phone (817) 731-6121.

Contact Information

Primary practice address
6913 Camp Bowie Blvd Ste 171 Fort Worth TX 76116-7165
Phone: (817) 731-6121
Fax: (817) 732-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X S7496 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X S7496 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49383 Arizona

Profile Details

NPI number 1700170867
LBN Legal business name Mathew, Biju Benny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2011
Last updated Jul 26th, 2023 - about last year

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 1700170867 NPPES
Arizona MEDICAID 951062

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