| Organization Name: | GEORGE K. MATHEW, M.D., INC. |
| NPI Number: | 1487910857 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE K MATHEW (PRESIDENT) |
| Mailing Address: | 29099 Health Campus Dr Suite #230 Westlake |
| State: | OH US |
| Postal Code: | 441455200 |
| Phone Number: | 4408356263 |
| Fax Number: | 4408926632 |
| NPI Enumeration Date: | 04/10/2012 |
| NPI Last Update Date: | 04/10/2012 |
| 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: | |