Mathew, Suji V

Mathew, Suji V is an individual health care provider with primary practice located at 600 Celebrate Life Pkwy , Newnan GA 30265-8001. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Mathew, Suji V can be contacted via phone (770) 400-6620.

Contact Information

Primary practice address
600 Celebrate Life Pkwy Newnan GA 30265-8001
Phone: (770) 400-6620
Fax: (770) 400-6833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 026119 Alabama
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 26119 Alabama
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 062557 Georgia

Profile Details

NPI number 1912920356
LBN Legal business name Mathew, Suji V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 24th, 2021 - 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 1912920356 NPPES
Alabama MEDICAID 1912920356
Alabama MEDICAID 109053
Alabama Other 51597449

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