Nibu Mathew, M.d., P.a. | |
400 Medic Ln Suite A Alvin TX 77511-5567 | |
(281) 331-9241 | |
Not Available |
Full Name | Nibu Mathew, M.d., P.a. |
---|---|
Speciality | Internal Medicine |
Location | 400 Medic Ln, Alvin, Texas |
Authorized Official Name and Position | Nibu Mathew (OWNER) |
Authorized Official Contact | 2813319241 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nibu Mathew, M.d., P.a. 400 Medic Ln Suite A Alvin TX 77511-5567 Ph: (281) 331-9241 | Nibu Mathew, M.d., P.a. 400 Medic Ln Suite A Alvin TX 77511-5567 Ph: (281) 331-9241 |
NPI Number | 1942479514 |
---|---|
Provider Enumeration Date | 02/27/2008 |
Last Update Date | 02/27/2008 |
Medicare PECOS PAC ID | 4789754151 |
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Medicare Enrollment ID | O20080528000694 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942479514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nibu Mathew |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538231261 PECOS PAC ID: 8123036423 Enrollment ID: I20060328000725 |
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