Mathew, Ryan

Mathew, Ryan is an individual health care provider with primary practice located at 4280 Watermelon Rd Ste 112 , Northport AL 35473-5250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Mathew, Ryan can be contacted via phone (205) 750-0030.

Contact Information

Primary practice address
4280 Watermelon Rd Ste 112 Northport AL 35473-5250
Fax: (205) 750-0855
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.068511 Illinois
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 44728 Alabama

Profile Details

NPI number 1043664899
LBN Legal business name Mathew, Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Aug 26th, 2022 - about 3 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 1043664899 NPPES
Illinois MEDICAID 1043664899

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