Doctor Name: | DR. GEORGE K MATHEW |
NPI Number: | 1487859161 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35-044841 |
Business Practice Address: | 29099 Health Campus Dr Suite-230 Westlake, OH - 441455200 |
Business Phone Number: | 4408356263 |
Business Fax Number: | 4408926632 |
Mailing Address: | 29099 Health Campus Dr, Suite-230 WESTLAKE |
State: | OH |
Postal Code: | 441455200 |
Phone Number: | 4408356263 |
Fax Number: | 4408926632 |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-044841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |