Thekkekara, Jose Mathew
Thekkekara, Jose Mathew is an individual health care provider with primary practice located at 85 Kirman Ave Ste 200 , Reno NV 89502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Thekkekara, Jose Mathew can be contacted via phone (775) 982-2826.Contact Information
Primary practice address
85 Kirman Ave Ste 200
Reno NV 89502
Phone: (775) 982-2826
Fax: (775) 982-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 8941 | Nevada |
Profile Details
| NPI number | 1649314683 |
|---|---|
| LBN Legal business name | Thekkekara, Jose Mathew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Nov 5th, 2018 - about 6 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 | 1649314683 | NPPES |
| Nevada | MEDICAID | 1649314683 | |
| Nevada | Other | P01092343 | |
| Nevada | Other | 11830250 |
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