Mathew, Theckedath
Mathew, Theckedath is an individual health care provider with primary practice located at 1445 Portland Avenue Suite 208, Rochester NY 14621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mathew, Theckedath can be contacted via phone (585) 338-2322.Contact Information
Primary practice address
1445 Portland Avenue Suite 208
Rochester NY 14621
Phone: (585) 338-2322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 137136 | New York |
Profile Details
| NPI number | 1144264862 |
|---|---|
| LBN Legal business name | Mathew, Theckedath |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144264862 | NPPES |
| New York | MEDICAID | 00719080 |
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