Mathew, K V

Mathew, K V is an individual health care provider with primary practice located at 4448 Oakbridge Dr Suite A, Flint MI 48532-5494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mathew, K V can be contacted via phone (810) 230-7905.

Contact Information

Primary practice address
4448 Oakbridge Dr Suite A Flint MI 48532-5494
Fax: (810) 230-7908
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X KM033355 Michigan

Profile Details

NPI number 1750379160
LBN Legal business name Mathew, K V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 9th, 2007 - about 17 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 1750379160 NPPES
Michigan Other 2602500091 BLUE CROSS NUMBER
Michigan Other 2606491 BLUE CROSS NUMBER
Michigan MEDICAID 1081980 BLUE CROSS NUMBER

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