Doctor Name: | ANU K MATHEW |
NPI Number: | 1164620811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 32945 |
Business Practice Address: | 9327 N 3rd St Suite 200 Phoenix, AZ - 850202473 |
Business Phone Number: | 6029970595 |
Business Fax Number: | 6029970594 |
Mailing Address: | Po Box 11773, CHANDLER |
State: | AZ |
Postal Code: | 852480013 |
Phone Number: | 4809077707 |
Fax Number: | 4809077097 |
NPI Enumeration Date: | 07/04/2007 |
NPI Last Update Date: | 09/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 32945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |