Nirmala S Mathew MD

NPI 1063491595 - Anesthesiology - 207L00000X

NPI Details
NPI 1063491595
Gender Female
Enumeration Date 01/12/2006
Last Updated 12/03/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
10016 OFFICE CENTER AVE
SUITE #100
SAINT LOUIS MO, 63128-1468, US
Phone (314) 720-0855
Fax (314) 735-4335
Business Location
10016 OFFICE CENTER AVE
SUITE #100
SAINT LOUIS MO, 63128-1468, US
Phone (314) 720-0855
Fax (314) 735-4335
Toxanomy
Taxonomy Code 207L00000X
License State Missouri
License Number 2004035419
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According to our database, Dr. Nirmala S Mathew MD NPI is 1063491595, taxonomy code is 207L00000X and license number is 2004035419, license state is located at Missouri. Nirmala S Mathew MD physically located at 10016 Office Center Ave, Saint Louis MO, 63128-1468. NPI Number Nirmala S Mathew MD has the Individual type.

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1063491595 NPI number is provided on an as is basis without warranty of any kind. 1063491595 is maintained by the National Plan & Provider Enumeration System. The contents of Nirmala S Mathew MD are for informational purposes only.