Doctor Name: | DR. MELVY SARAH MATHEW |
NPI Number: | 1437312477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D76127 |
Business Practice Address: | 5841 S Maryland Ave Chicago, IL - 606371447 |
Business Phone Number: | 7737025906 |
Business Fax Number: | |
Mailing Address: | 833 W 15th Pl, Apt #615 CHICAGO |
State: | IL |
Postal Code: | 606081849 |
Phone Number: | 3124792435 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | D76127 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |