| K.v. Mathew, M.d., P.c. | |
|
4448 Oakbridge Dr Ste A Flint MI 48532-5484 | |
| (810) 230-7905 | |
| (810) 230-7908 |
| Full Name | K.v. Mathew, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4448 Oakbridge Dr Ste A, Flint, Michigan |
| Authorized Official Name and Position | K. V. Mathew (PRESIDENT) |
| Authorized Official Contact | 8102307905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K.v. Mathew, M.d., P.c. 4448 Oakbridge Dr Ste A Flint MI 48532-5484 Ph: (810) 230-7905 | K.v. Mathew, M.d., P.c. 4448 Oakbridge Dr Ste A Flint MI 48532-5484 Ph: (810) 230-7905 |
| NPI Number | 1992902613 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587616016 |
|---|---|
| Medicare Enrollment ID | O20050214000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992902613 | NPI | - | NPPES |
| 1081980 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | KM033355 (Michigan) | Primary |
| Provider Name | K V Mathew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750379160 PECOS PAC ID: 8921050451 Enrollment ID: I20050215000123 |
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