| Doctor Name: | MANESH A. MATHEW |
| NPI Number: | 1841242112 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 237450 |
| Business Practice Address: | 500 Ocean Drive Apt W8c Juno Beach, FL - 33048 |
| Business Phone Number: | 9177678584 |
| Business Fax Number: | 8668718002 |
| Mailing Address: | 23625 Commerce Park, Ste 204 BEACHWOOD |
| State: | OH |
| Postal Code: | 44122 |
| Phone Number: | 2162555700 |
| Fax Number: | 2162555701 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 01/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 237450 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |