Suresh Mathew is a Nephrology in Saint Louis, Missouri. Suresh Mathew practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Suresh Mathew is 1922070614. The last update date is 2022-03-14.
Suresh Mathew's current location address is 11125 Dunn Rd, Saint Louis, Missouri. You can contact this provider via phone number 3143551166 and fax number 3143559179. The mailing address for Suresh Mathew is 11125 Dunn Rd, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Suresh Mathew |
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Address | 11125 Dunn Rd, Saint Louis, Missouri |
Phone Number | 3143551166 |
Fax Number | 3143559179 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1922070614 |
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Provider Enumeration Date | 2006-02-06 |
Last Updated Date | 2022-03-14 |
Provider Mailing Address Detail
Address | 11125 Dunn Rd |
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City | Saint Louis |
State | Missouri (MO) |
Post Code | 631366132 |
Phone Number | 3143551166 |
Fax Number | 3143559179 |
Provider's Primary Taxonomy Detail
Speciality | Nephrology |
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Taxonomy | 207Rn0300X |
Licence No | 2002016480 |
Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2002016480 | MO | -- | |
205931108 | MO | -- |
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What is the unique 10-digit identifier code assigned to Suresh Mathew by the Centers for Medicare & Medicaid Services?
The Suresh Mathew has been issued the NPI (National Provider Identifier) 1922070614 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Suresh Mathew's facilities are geographically located?
The facilities of Suresh Mathew are physically situated at the following location: 11125 Dunn Rd, Saint Louis, MO, 631366132.
What is Suresh Mathew's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Suresh Mathew's specialized field of practice is Nephrology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rn0300X.
On what date did Suresh Mathew receive its 1922070614 assignment from the Centers for Medicare & Medicaid Services?
The Suresh Mathew was assigned its 1922070614 on 2006-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Suresh Mathew most recently updated or revised?
The details related to Suresh Mathew, including its address, specialty, and other relevant information, were last updated or revised on 2022-03-14.