Mathew, Roshan K.
Mathew, Roshan K. is an individual health care provider with primary practice located at 3110 Fairview Dr , Owensboro KY 42303-2175. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mathew, Roshan K. can be contacted via phone (270) 240-2129.Contact Information
Primary practice address
3110 Fairview Dr
Owensboro KY 42303-2175
Phone: (270) 240-2129
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 39846 | Kentucky |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 39846 | Kentucky |
Profile Details
NPI number | 1093820953 |
---|---|
LBN Legal business name | Mathew, Roshan K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 20th, 2006 |
Last updated | Dec 7th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093820953 | NPPES |
Kentucky | MEDICAID | 64121510 | |
Kentucky | MEDICAID | 200900130 |
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