Andola Chamberlai Mathis in Grand Rapids - Obstetrics & Gynecology
Andola Chamberlai Mathis - NPI 1417994997
Andola Chamberlai Mathis is a Obstetrics & Gynecology in Grand Rapids, Michigan. Andola Chamberlai Mathis practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Andola Chamberlai Mathis is 1417994997. The last update date is 2007-08-10.
Andola Chamberlai Mathis's current location address is 21 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164512993 and fax number 6164514393. The mailing address for Andola Chamberlai Mathis is 21 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andola Chamberlai Mathis |
|---|---|
| Address | 21 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6164512993 |
| Fax Number | 6164514393 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417994997 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2007-08-10 |
Provider Mailing Address Detail
| Address | 21 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032528 |
| Phone Number | 6164512993 |
| Fax Number | 6164514393 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 4301074425 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1604113602 | MI | BCBSM | |
| 4503527 | MI | -- |
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What is the unique 10-digit identifier code issued to Andola Chamberlai Mathis by the Centers for Medicare & Medicaid Services?
The Andola Chamberlai Mathis has been assigned the NPI (National Provider Identifier) 1417994997 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Andola Chamberlai Mathis?
The Andola Chamberlai Mathis is situated at 21 Michigan St Ne, in the city of Grand Rapids, state of MI, with the zip code 495032528.
What is the Andola Chamberlai Mathis's specialty and taxonomy code?
The Andola Chamberlai Mathis's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417994997 to Andola Chamberlai Mathis?
The Centers for Medicare & Medicaid Services assigned the 1417994997 to Andola Chamberlai Mathis on 2006-06-01.
When was the information pertaining to Andola Chamberlai Mathis most recently updated or revised?
The details related to Andola Chamberlai Mathis, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-10.